{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,15]],"date-time":"2026-01-15T07:16:32Z","timestamp":1768461392171,"version":"3.49.0"},"reference-count":41,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2019,8,8]],"date-time":"2019-08-08T00:00:00Z","timestamp":1565222400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2019,8,8]],"date-time":"2019-08-08T00:00:00Z","timestamp":1565222400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"},{"start":{"date-parts":[[2019,8,8]],"date-time":"2019-08-08T00:00:00Z","timestamp":1565222400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2019,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>To report our experiences and outcome of pancreatectomy with hepatic artery resection (PT\u2010HAR) for advanced pancreatic head cancer.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective study of clinical data from 14 patients with advanced pancreatic ductal adenocarcinoma undergoing PT\u2010HAR in a tertiary academic center between March 2010 and June 2017 was performed. Furthermore, a comparison in a match\u2010pair analysis (1:3) with patients received standard pancreatectomy during the same period was conducted to evaluate the clinical outcome.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The PT\u2010HAR cohort included pancreaticoduodenectomy (<jats:italic>n<\/jats:italic>\u2009=\u200911) and total pancreatectomy (<jats:italic>n<\/jats:italic>\u2009=\u20093). Of them, six underwent portal\/superior mesenteric vein resection and reconstruction and three underwent hepatic artery reconstruction. Four patients without arterial reconstruction developed liver perfusion failure. No perioperative mortality occurred, with a median postoperative hospital stay of 10.5\u00a0days (range 6\u201339). The median overall survival was 30\u00a0months (95% confidence interval 9.8\u201350.2\u00a0months), with the 1\u2010, 2\u2010, and 3\u2010year survival rates of 81.8%, 63.6%, and 42.4%, respectively. The matched\u2010pair data analysis showed no significant differences between PT\u2010HAR and standard pancreatectomy, except that liver perfusion failure occurred more frequently after PT\u2010HAR.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>PT\u2010HAR can be performed with acceptable morbidity, mortality, and survival for advanced pancreatic head cancer. Considering the potential risk of liver perfusion failure, only highly selected patients are eligible for PT\u2010HAR without reconstruction.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-019-05106-8","type":"journal-article","created":{"date-parts":[[2019,8,8]],"date-time":"2019-08-08T18:06:48Z","timestamp":1565287608000},"page":"2909-2919","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Pancreatectomy with Hepatic Artery Resection for Pancreatic Head Cancer"],"prefix":"10.1002","volume":"43","author":[{"given":"Feng","family":"Yang","sequence":"first","affiliation":[{"name":"Department of Pancreatic Surgery, Huashan Hospital, Shanghai Medical College Fudan University 12 Central Urumqi Road 200040 Shanghai China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiaoyi","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Pancreatic Surgery, Huashan Hospital, Shanghai Medical College Fudan University 12 Central Urumqi Road 200040 Shanghai China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chen","family":"Jin","sequence":"additional","affiliation":[{"name":"Department of Pancreatic Surgery, Huashan Hospital, Shanghai Medical College Fudan University 12 Central Urumqi Road 200040 Shanghai China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hang","family":"He","sequence":"additional","affiliation":[{"name":"Department of Pancreatic Surgery, Huashan Hospital, Shanghai Medical College Fudan University 12 Central Urumqi Road 200040 Shanghai China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Deliang","family":"Fu","sequence":"additional","affiliation":[{"name":"Department of Pancreatic Surgery, Huashan Hospital, Shanghai Medical College Fudan University 12 Central Urumqi Road 200040 Shanghai China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,8,8]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v21.i26.7988"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1470\u20102045(15)00463\u20105"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e3181930249"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.7675"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2013.09.003"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00534\u2010009\u20100190\u20107"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002\u20109610(02)01416\u20102"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11605\u2010008\u20100578\u20108"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00423\u2010014\u20101200\u2010z"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00423\u2010017\u20101578\u20105"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/jhbp.192"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00595\u2010014\u20100837\u20100"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1159\/000114867"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v21.i3.969"},{"issue":"36","key":"e_1_2_8_16_1","first-page":"1526","article-title":"Unilateral hepatic artery reconstruction is unnecessary in biliary tract carcinomas involving lobar hepatic artery: implications of interlobar hepatic artery and its preservation","volume":"47","author":"Miyazaki M","year":"2000","journal-title":"Hepatogastroenterology"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.6004\/jnccn.2017.0131"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijsu.2018.01.009"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1002\/jhbp.589"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1002\/jso.25377"},{"key":"e_1_2_8_21_1","unstructured":"YangF JinC HaoSet al. Drain contamination after distal pancreatectomy: incidence risk factors and association with postoperative pancreatic fistula.J Gastrointest Surg(2019)10.1007\/s11605\u2010019\u201004155\u2010731515760"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2016.11.014"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.sla.0000133083.54934.ae"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.sla.0000246856.03918.9a"},{"key":"e_1_2_8_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002\u20109610(66)90201\u20107"},{"key":"e_1_2_8_26_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11605\u2010017\u20103595\u20107"},{"key":"e_1_2_8_27_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00423\u2010014\u20101255\u2010x"},{"key":"e_1_2_8_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijscr.2016.05.016"},{"key":"e_1_2_8_29_1","doi-asserted-by":"publisher","DOI":"10.1245\/s10434\u2010016\u20105493\u20108"},{"key":"e_1_2_8_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2014.01.003"},{"key":"e_1_2_8_31_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00423\u2010016\u20101488\u2010y"},{"key":"e_1_2_8_32_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pan.2014.05.795"},{"key":"e_1_2_8_33_1","doi-asserted-by":"publisher","DOI":"10.1002\/jso.25105"},{"key":"e_1_2_8_34_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002\u20109610(70)90228\u2010X"},{"key":"e_1_2_8_35_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejrad.2010.05.014"},{"key":"e_1_2_8_36_1","unstructured":"BachellierP AddeoP FaitotFet al. Pancreatectomy with arterial resection for pancreatic adenocarcinoma: how can it be done safely and with which outcomes? A single institution's experience with 118 patients.Ann Surg(2018)10.1097\/SLA.000000000000301030188399"},{"issue":"2","key":"e_1_2_8_37_1","first-page":"195","article-title":"Outcome of concomitant resection of the replaced right hepatic artery in pancreaticoduodenectomy without reconstruction","volume":"403","author":"Asano T","year":"2018","journal-title":"Langenbecks Arch Surg"},{"key":"e_1_2_8_38_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11605\u2010009\u20101089\u2010y"},{"key":"e_1_2_8_39_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jviscsurg.2017.05.013"},{"key":"e_1_2_8_40_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00423\u2010016\u20101413\u20104"},{"key":"e_1_2_8_41_1","doi-asserted-by":"publisher","DOI":"10.1245\/s10434\u2010008\u20109844\u2010y"},{"key":"e_1_2_8_42_1","doi-asserted-by":"publisher","DOI":"10.1245\/s10434\u2010014\u20104304\u20103"}],"container-title":["World Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s00268-019-05106-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1007\/s00268-019-05106-8\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s00268-019-05106-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1007\/s00268-019-05106-8","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,1,7]],"date-time":"2024-01-07T16:03:14Z","timestamp":1704643394000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1007\/s00268-019-05106-8"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,8,8]]},"references-count":41,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2019,11]]}},"alternative-id":["10.1007\/s00268-019-05106-8"],"URL":"https:\/\/doi.org\/10.1007\/s00268-019-05106-8","archive":["Portico"],"relation":{},"ISSN":["0364-2313","1432-2323"],"issn-type":[{"value":"0364-2313","type":"print"},{"value":"1432-2323","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,8,8]]},"assertion":[{"value":"8 August 2019","order":1,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Compliance with ethical standards"}},{"value":"We declared no conflict of interest.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"Informed consent was obtained from all individual participants included in the study.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed consent"}}]}}