Impact of Lymph Node Metastases Around the Superior Mesenteric Artery on Postoperative Outcomes of Pancreatic Head Cancer View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2021-08-18

AUTHORS

Yoichi Miyata, Naoto Yonamine, Ibuki Fujinuma, Takazumi Tsunenari, Yasuhiro Takihata, Toshimitsu Iwasaki, Takahiro Einama, Hironori Tsujimoto, Hideki Ueno, Junji Yamamoto, Yoji Kishi

ABSTRACT

BackgroundThe neural plexus and lymph nodes around the superior mesenteric artery (LN#14), are the most frequent sites involved by pancreatic head cancer. However the influence of metastases to LN#14 on patients’ prognosis has rarely been evaluated.MethodsThe patients who underwent pancreatectomy for pancreatic head cancer between January 2010 and December 2018 were selected. The patients with nodal metastases were classified into an LN#14 + or LN#14−group according to LN#14 metastasis. Clinical and pathological characteristics and prognosis were compared between the two groups.ResultsIn total, 99 patients underwent pancreatectomy. Ninety-four patients were positive for lymph node metastases and 14 and 80 were classified as LN#14 + and LN#14 − , respectively. Postoperative median overall survival (OS) of the LN#14 + and LN#14 − groups was 10.2 and 31.1 months, respectively (P < 0.001). Median OS of the LN#14 + group was worse than that of patients with ≥ 4 metastatic nodes in the LN#14 − group (n = 35, 24.7 months, P = 0.002). In multivariate analysis, LN#14 + (hazard ratio [HR] = 3.89, 95% confidence interval [CI], 1.64–8.86) was one of the independent predictors of worse OS.ConclusionIt might be feasible to recognize LN#14 metastases as an important prognostic factor independently from other regional lymph node metastases. More... »

PAGES

3668-3676

References to SciGraph publications

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00268-021-06276-0

DOI

http://dx.doi.org/10.1007/s00268-021-06276-0

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1140497972

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/34406453


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