TY - CHAP M1 - Book, Section TI - Borderline Resectable Pancreatic Cancer and Techniques of Vascular Resection A1 - Katz, Matthew H. G. A2 - Morita, Shane Y. A2 - Balch, Charles M. A2 - Klimberg, V. Suzanne A2 - Pawlik, Timothy M. A2 - Posner, Mitchell C. A2 - Tanabe, Kenneth K. PY - 2018 T2 - Textbook of Complex General Surgical Oncology AB - Reports of the use of vascular resection at the time of pancreatectomy have circulated since Fortner attempted to popularize the techniques approximately 40 years ago. At that time, resection of major mesenteric vessels was advocated as part of a regional pancreatectomy procedure designed to maximize soft-tissue clearance in the face of infiltrating cancers of the pancreas.1,2 Although vascular resection subsequently lost favor, as it was perceived to be associated with significant morbidity and mortality, the past 20 years have seen a greater understanding of both its role and its limitations. Experienced surgeons have steadily been increasing the use of vascular exposures and resection techniques to achieve margin negative resections as part of comprehensive multimodality treatment strategies for patients with pancreatic ductal adenocarcinoma (PDAC). SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/10/05 UR - accesssurgery.mhmedical.com/content.aspx?aid=1145764949 ER -