RT Book, Section 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. SR Print(0) ID 1145764949 T1 Borderline Resectable Pancreatic Cancer and Techniques of Vascular Resection T2 Textbook of Complex General Surgical Oncology YR 2018 FD 2018 PB McGraw-Hill Education PP New York, NY SN 9780071793315 LK accesssurgery.mhmedical.com/content.aspx?aid=1145764949 RD 2024/10/15 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).