{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T07:19:25Z","timestamp":1784618365175,"version":"3.55.0"},"reference-count":35,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,3,28]],"date-time":"2026-03-28T00:00:00Z","timestamp":1774656000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,3,28]],"date-time":"2026-03-28T00:00:00Z","timestamp":1774656000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The present study aimed to review and analyze the impact of arterial divestment during pancreatic surgery on short\u2010term outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>PubMed, Embase, Web of Science, and the Cochrane Library were searched. Outcomes of interest included perioperative parameters, resection margins, morbidity, and mortality. Analysis was performed using the meta package in R.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Five observational studies comprising 554 patients were included. Two hundred twelve patients had upfront surgery, and 342 patients had neoadjuvant chemotherapy. Four hundred and eighty\u2010two had periarterial dissection and 72 sub adventitial dissection. Operative time varied considerably (median 185\u2013537\u00a0min), and intraoperative blood loss ranged between 300 and 900\u00a0mL. The pooled prevalence of blood transfusion was 37.6% (95% CI: 32.5%\u201343.1%;\n                      <jats:italic>I<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u00a0=\u00a097.7%). Median post\u2010operative stay ranged from 7 to 25\u00a0days. R0 resection was achieved in 49.4% (95% CI: 44.9%\u201353.8%). Complications included post\u2010operative pancreatic fistula (9.2%), delayed gastric emptying (11.2%), post\u2010operative pancreatic hemorrhage (5.8%), chyle leakage (13.9%), reoperation (6.1%), 90\u2010day mortality (3.1%), bile leakage (\u2264\u00a02.8%), ischemia (\u2264\u00a04.2%), and intractable diarrhea (8%\u201313%).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Arterial divestment during pancreatic surgery appears to have acceptable morbidity and mortality. However, there is a lack of a unified agreed definition and case selection. A unified reporting, standardization of terminology and relative role compared to arterial resection should be explored in prospective studies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/wjs.70347","type":"journal-article","created":{"date-parts":[[2026,3,28]],"date-time":"2026-03-28T18:30:20Z","timestamp":1774722620000},"page":"1363-1373","source":"Crossref","is-referenced-by-count":1,"title":["Short\u2010Term Outcomes of Arterial Divestment in Pancreatic Cancer: A Systematic Review and Single Arm Meta\u2010Analysis of Observational Studies"],"prefix":"10.1002","volume":"50","author":[{"given":"Vivek","family":"Peddakota","sequence":"first","affiliation":[{"name":"Department of HPB and Transplant Surgery Freeman Hospital  Newcastle Upon Tyne UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bhargava","family":"Chikkala","sequence":"additional","affiliation":[{"name":"Department of HPB and Transplant Surgery Freeman Hospital  Newcastle Upon Tyne 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