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Perigastric lymph node involvement in patients with carcinoma of the head of the pancreas was 14 per cent, in those with carcinoma of the distal bile duct 0 per cent and in those with carcinoma of the papilla of Vater 4 per cent. Para-aortic lymph node involvement in patients with carcinoma of the head of the pancreas, the distal bile duct and the papilla of Vater was 26, 9 and 0 per cent, respectively. On the basis of these results, pylorus-preserving pancreatoduodenectomy is indicated in almost all patients with carcinoma of the distal bile duct and the papilla of Vater. In patients with carcinoma of the head of the pancreas, however, wide dissection of lymph nodes, including para-aortic lymph nodes, should be carried out because of the relatively high incidence of para-aortic lymph node involvement.<\/jats:p>","DOI":"10.1002\/bjs.1800820340","type":"journal-article","created":{"date-parts":[[2007,3,3]],"date-time":"2007-03-03T16:36:09Z","timestamp":1172939769000},"page":"399-402","source":"Crossref","is-referenced-by-count":87,"title":["Lymph node metastases in carcinoma of the head of the pancreas region"],"prefix":"10.1093","volume":"82","author":[{"given":"A","family":"Nakao","sequence":"first","affiliation":[{"name":"Department of Surgery II, Nagoya University School of Medicine , 65 Tsurumai-cho, Showa-ku, Nagoya 466,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A","family":"Harada","sequence":"additional","affiliation":[{"name":"Department of Surgery II, Nagoya University School of Medicine , 65 Tsurumai-cho, Showa-ku, Nagoya 466,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T","family":"Nonami","sequence":"additional","affiliation":[{"name":"Department of Surgery II, Nagoya University School of Medicine , 65 Tsurumai-cho, Showa-ku, Nagoya 466,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T","family":"Kaneko","sequence":"additional","affiliation":[{"name":"Department of Surgery II, Nagoya University School of Medicine , 65 Tsurumai-cho, Showa-ku, Nagoya 466,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H","family":"Murakami","sequence":"additional","affiliation":[{"name":"Department of Surgery II, Nagoya University School of Medicine , 65 Tsurumai-cho, Showa-ku, Nagoya 466,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S","family":"Inoue","sequence":"additional","affiliation":[{"name":"Department of Surgery II, Nagoya University School of Medicine , 65 Tsurumai-cho, Showa-ku, Nagoya 466,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Y","family":"Takeuchi","sequence":"additional","affiliation":[{"name":"Department of Surgery II, Nagoya University School of Medicine , 65 Tsurumai-cho, Showa-ku, Nagoya 466,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H","family":"Takagi","sequence":"additional","affiliation":[{"name":"Department of Surgery II, Nagoya University School of Medicine , 65 Tsurumai-cho, Showa-ku, Nagoya 466,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[1995,3,1]]},"reference":[{"key":"2024092814554580400_bib1","first-page":"307","article-title":"Regional resection of cancer of the pancreas: a new surgical approach","volume":"73","author":"Fortner","year":"1973","journal-title":"Surgery"},{"key":"2024092814554580400_bib2","first-page":"1","article-title":"Total pancreatectomy accompanied by portal vein resection using catheter-bypass of the portal vein","volume":"37","author":"Nakao","year":"1983","journal-title":"Shujutsu (Operation)"},{"key":"2024092814554580400_bib3","first-page":"913","article-title":"Portal vein resection with a new antithrombogenic catheter","volume":"108","author":"Nakao","year":"1990","journal-title":"Surgery"},{"key":"2024092814554580400_bib4","volume-title":"General Rules for Surgical and Pathological Studies on Cancer of the Pancreas","author":"Japan Pancreas Society","year":"1987","edition":"3rd"},{"key":"2024092814554580400_bib5","volume-title":"General Rules for Surgical and Pathological Studies on Cancer of the Biliary Tract","author":"Japanese Society of Biliary Surgery","year":"1993","edition":"3rd"},{"key":"2024092814554580400_bib6","doi-asserted-by":"crossref","first-page":"763","DOI":"10.1097\/00000658-193510000-00023","article-title":"Treatment of carcinoma of the ampulla of Vater","volume":"102","author":"Whipple","year":"1935","journal-title":"Ann Surg"},{"key":"2024092814554580400_bib7","first-page":"959","article-title":"Preservation of the pylorus in pancreaticoduodenectomy","volume":"146","author":"Traverso","year":"1978","journal-title":"Surg Gynecol Obstet"},{"key":"2024092814554580400_bib8","doi-asserted-by":"crossref","first-page":"880","DOI":"10.1002\/1097-0142(197803)41:3<880::AID-CNCR2820410315>3.0.CO;2-J","article-title":"Lymph node involvement in carcinoma of the head of the pancreas area","volume":"41","author":"Cubilla","year":"1978","journal-title":"Cancer"},{"key":"2024092814554580400_bib9","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1097\/00000658-198607000-00009","article-title":"Lymphatic and local spread of T1 and T2 pancreatic cancer. 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