Resectable pancreatic cancer (Adenocarcinoma, adenosquamous cell carcinoma, mucinous carcinoma, and anaplastic carcinoma according to the 7th edition of the regulations for handling pancreatic cancer)
ASA-PS (American Society of Anesthesiology, General condition classification) is Class 1-3.
Age are over 20 years old.
Able to understand the content of the research and has obtained written consent from the person himself/herself.
You may not be if
Non-resectable pancreatic cancer by image diagnosis at the initial diagnosis
Cases suspected of portal vein (superior mesenteric vein) invasion
Patients with severe ischemic heart disease
Patients with cirrhosis or active hepatitis requiring treatment
Patients with dyspnea requiring oxygen administration
Patients undergoing dialysis due to chronic renal failure
Cases in which arterial reconstruction of the superior mesenteric artery, common hepatic artery, celiac artery, etc. is considered necessary
Patients with strong suspected paraaortic lymph node metastasis
Active double cancer thought to affect adverse events and prognosis
Long-term oral steroids that may affect adverse events
Patients who are considered to have difficulty participating in the study due to psychosis or psychiatric symptoms.
Cases other than invasive pancreatic ductal carcinoma by preoperative biopsy. Invasive intraductal papillary mucinous carcinoma (IPMC) is excluded.
Patients who cannot use both iodine drugs and gadnium drugs due to severe drug allergy
Cases where the prescribed procedure is difficult due to history of upper abdominal surgery such as stomach, spleen, kidney, liver, transverse colon, retroperitoneum including pancreas and pancreatitis
Clareo Health | Isolation Procedure vs. Conventional Procedure During Distal Pancreatectosplenectomy for Pancreatic Cancer