{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,9,3]],"date-time":"2024-09-03T00:54:43Z","timestamp":1725324883419},"reference-count":33,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2023,7,27]],"date-time":"2023-07-27T00:00:00Z","timestamp":1690416000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2023,7,27]],"date-time":"2023-07-27T00:00:00Z","timestamp":1690416000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2023,7,27]],"date-time":"2023-07-27T00:00:00Z","timestamp":1690416000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2023,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Superior mesenteric artery (SMA) nerve plexus (PLsma) dissection has been performed to achieve R0 resection in pancreaticoduodenectomy (PD) for pancreatic ductal adenocarcinoma (PDAC) in high\u2010volume centers. However, full\u2010extent PLsma preservation in PD is employed in our institution. The feasibility of the PLsma preservation strategy was investigated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Between January 2010 and December 2020, 156 patients underwent PLsma preservation PD for PDAC at our institution. Of these, 118 patients had resectable PDAC (R group) and 38 patients had borderline resectable artery (BR\u2010A group). Clinical and oncological outcomes focusing on local recurrence, patient prognoses, and morbidities (including postoperative refractory diarrhea) were retrospectively analyzed and our postoperative outcomes were compared with those of other institutions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Pathological R0 resection by PLsma preservation PD was achieved in 96 R group patients (81.4%) and 27 BR\u2010A group patients (71.1%). The median postoperative hospital stay was 15.0\u00a0days in both groups. Local site\u2010only recurrence was observed in 10.2% (12\/118) of R\u2010group and 10.5% (4\/38) of BR\u2010A\u2010group patients, whereas distant site\u2010only recurrence occurred in 21.2% (25\/118) of R\u2010group and 28.9% (11\/38) of BR\u2010A\u2010group patients. Median survival times were 64.3\u00a0months (R group) and 35.4\u00a0months (BR\u2010A group, <jats:italic>p<\/jats:italic>\u2009=\u20090.07). Median disease\u2010free survival (DFS) times were 31.0\u00a0months (R group) and 12.0\u00a0months (BR\u2010A group). No diarrhea requiring opioids was observed in either group. These results were equal or superior to those of PLsma dissection PD in other institutions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>PLsma preservation in PD was feasible compared to PLsma dissection in recurrence and overall survival.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-023-07111-4","type":"journal-article","created":{"date-parts":[[2023,7,27]],"date-time":"2023-07-27T16:04:31Z","timestamp":1690473871000},"page":"2816-2824","update-policy":"http:\/\/dx.doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Total Superior Mesenteric Artery Nerve Plexus Preservation During Pancreaticoduodenectomy for Pancreatic Cancer"],"prefix":"10.1002","volume":"47","author":[{"given":"Yoshihiro","family":"Miyazaki","sequence":"first","affiliation":[{"name":"Department of Gastrointestinal and Hepato\u2010Biliary\u2010Pancreatic Surgery Faculty of Medicine University of Tsukuba 1\u20101\u20101 Tennoudai 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