{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T20:49:17Z","timestamp":1792010957664,"version":"4.4.0"},"reference-count":61,"publisher":"Oxford University Press (OUP)","issue":"12","license":[{"start":{"date-parts":[[2004,10,29]],"date-time":"2004-10-29T00:00:00Z","timestamp":1099008000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2004,11,17]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>The aim of this study was to assess the impact of metastatic disease in lymph nodes 8a and 16b1 (as defined by the Japanese Pancreas Society) on survival in patients with periampullary malignancy.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Patients undergoing resection for primary pancreatic ductal adenocarcinoma or intrapancreatic bile duct adenocarcinoma were identified from a prospective database (September 1997\u2013May 2003).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Thirteen of 54 and ten of 44 evaluable patients had metastatic involvement of lymph nodes 8a and 16b1 respectively. Metastatic involvement of lymph node 8a was associated with a significantly shorter median survival (197 versus 470 days; P = 0\u00b7003) but metastatic involvement of lymph node 16b1 did not affect survival (457 versus 503 days; P = 0\u00b7185). Multivariate analysis showed lymph node 8a status to be the strongest predictor of outcome (P = 0\u00b7006). Median survival of those with metastatic lymph node 8a was not significantly different from that of 81 patients with overt metastatic periampullary cancer at the time of diagnosis (98 days; P = 0\u00b7072)<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Lymph node 8a was an independent prognostic factor in patients with periampullary malignancy, but lymph node 16b1 was not. Survival in those with metastatic lymph node 8a was not significantly different from that in patients with metastatic disease at presentation. Preoperative determination of lymph node 8a status may have important implications in selecting patients for treatment.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1002\/bjs.4761","type":"journal-article","created":{"date-parts":[[2004,11,17]],"date-time":"2004-11-17T13:17:19Z","timestamp":1100697439000},"page":"1592-1599","source":"Crossref","is-referenced-by-count":51,"title":["Survival of patients with periampullary carcinoma is predicted by lymph node 8a but not by lymph node 16b1 status"],"prefix":"10.1093","volume":"91","author":[{"given":"S","family":"Connor","sequence":"first","affiliation":[{"name":"Department of Surgery, Liverpool, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L","family":"Bosonnet","sequence":"additional","affiliation":[{"name":"Department of Surgery, Liverpool, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P","family":"Ghaneh","sequence":"additional","affiliation":[{"name":"Department of Surgery, Liverpool, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"N","family":"Alexakis","sequence":"additional","affiliation":[{"name":"Department of Surgery, Liverpool, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M","family":"Hartley","sequence":"additional","affiliation":[{"name":"Department of Surgery, Liverpool, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F","family":"Campbell","sequence":"additional","affiliation":[{"name":"Department of Pathology, University of Liverpool, Royal Liverpool University Hospital, Liverpool, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R","family":"Sutton","sequence":"additional","affiliation":[{"name":"Department of Surgery, Liverpool, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J P","family":"Neoptolemos","sequence":"additional","affiliation":[{"name":"Department of Surgery, Liverpool, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2004,10,29]]},"reference":[{"key":"2021070907172337400_bib1","doi-asserted-by":"crossref","first-page":"248","DOI":"10.1097\/00000658-199709000-00004","article-title":"Six hundred and fifty consecutive pancreaticoduodenectomies in the 1990s","volume":"226","author":"Yeo","year":"1997","journal-title":"Ann Surg"},{"key":"2021070907172337400_bib2","doi-asserted-by":"crossref","first-page":"111","DOI":"10.1002\/bjs.1800820137","article-title":"Treatment and survival in 13560 patients with pancreatic cancer and incidence of the disease in the West Midlands: an epidemiological study","volume":"82","author":"Bramhall","year":"1995","journal-title":"Br J Surg"},{"key":"2021070907172337400_bib3","doi-asserted-by":"crossref","first-page":"23","DOI":"10.3322\/canjclin.52.1.23","article-title":"Cancer statistics, 2002","volume":"52","author":"Jemal","year":"2002","journal-title":"CA Cancer J Clin"},{"key":"2021070907172337400_bib4","doi-asserted-by":"crossref","first-page":"2069","DOI":"10.1002\/1097-0142(19950415)75:8<2069::AID-CNCR2820750807>3.0.CO;2-7","article-title":"Prognostic factors for survival after pancreaticoduodenectomy for patients with carcinoma of the pancreatic head region","volume":"75","author":"Allema","year":"1995","journal-title":"Cancer"},{"key":"2021070907172337400_bib5","first-page":"23","article-title":"Significance of lymph node metastases in the surgical management of pancreatic head carcinoma","volume":"18","author":"Benassai","year":"1999","journal-title":"J Exp Clin Cancer Res"},{"key":"2021070907172337400_bib6","doi-asserted-by":"crossref","first-page":"68","DOI":"10.1016\/S0002-9610(05)80406-4","article-title":"Prognostic indicators for survival after resection of pancreatic adenocarcinoma","volume":"165","author":"Geer","year":"1993","journal-title":"Am J Surg"},{"key":"2021070907172337400_bib7","doi-asserted-by":"crossref","first-page":"553","DOI":"10.1016\/S0039-6060(97)90128-8","article-title":"Long-term survival in pancreatic cancer: pylorus-preserving versus Whipple pancreatoduodenectomy","volume":"122","author":"Mosca","year":"1997","journal-title":"Surgery"},{"key":"2021070907172337400_bib8","doi-asserted-by":"crossref","first-page":"59","DOI":"10.1097\/00000658-199501000-00007","article-title":"Long-term survival after resection for ductal adenocarcinoma of the pancreas. 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