Surveying HPB surgeons, this study found significant variations in the decision-making and surgical practices for pancreatic adenocarcinoma. Most respondents performed staging laparoscopy selectively and would abort the procedure in the presence of a pathological aorto-caval node. However, they would continue surgery with a positive hepatic artery node. Surgeons in Europe were more likely to resect and proceed with a single segment 2 liver metastasis compared to their counterparts in Asia and North America. Consensus and guidelines are needed for commonly encountered operative scenarios.
Journal Article by Irfan A, Feng W (…) Rose JB et 3 al. in HPB (Oxford)
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