Evidence map›Paper›PMID 41559467›Full record

ArticleAnnals of surgical oncology2026

Left-to-Right Pancreatoduodenectomy at Splenic Vessels for Locally Advanced Pancreatic Tumors with Portal Vein and Common Hepatic Artery Encasement.

Pietro Addeo, Chloé Paul, Ivan Marchitelli, Pierre De Mathelin, Philippe Bachellier

Abstract readCase Reports
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In one paragraph

Article in Annals of surgical oncology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Pietro AddeoHepato-Pancreato-Biliary Surgery and Liver Transplantation, Pôle des Pathologies Hépatiques et Digestives, Hôpital de Hautepierre-Hôpitaux Universitaires de Strasbourg, Université de Strasbourg, Strasbourg, France. pietrofrancesco.addeo@chru-strasbourg.fr.ORCID http://orcid.org/0000-0003-0046-7973
Chloé PaulHepato-Pancreato-Biliary Surgery and Liver Transplantation, Pôle des Pathologies Hépatiques et Digestives, Hôpital de Hautepierre-Hôpitaux Universitaires de Strasbourg, Université de Strasbourg, Strasbourg, France.
Ivan MarchitelliHepato-Pancreato-Biliary Surgery and Liver Transplantation, Pôle des Pathologies Hépatiques et Digestives, Hôpital de Hautepierre-Hôpitaux Universitaires de Strasbourg, Université de Strasbourg, Strasbourg, France.
Pierre De MathelinHepato-Pancreato-Biliary Surgery and Liver Transplantation, Pôle des Pathologies Hépatiques et Digestives, Hôpital de Hautepierre-Hôpitaux Universitaires de Strasbourg, Université de Strasbourg, Strasbourg, France.
Philippe BachellierHepato-Pancreato-Biliary Surgery and Liver Transplantation, Pôle des Pathologies Hépatiques et Digestives, Hôpital de Hautepierre-Hôpitaux Universitaires de Strasbourg, Université de Strasbourg, Strasbourg, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn locally advanced pancreatic adenocarcinomas (LA-PDAC) when both common hepatic artery and portal vein encasement coexist, classical right-to-left dissection with vascular resection is difficult to achieve.

resultsSurgery lasted 360 min. Pathology showed pT4N1R0 pancreatic adenocarcinomas and a T3N0 colonic adenocarcinomas.

conclusionsIn LA-PDAC with both common hepatic artery and portal vein encasement, left-to-right could serve as an alternative approach in high-volume centers for expert pancreatic/vascular surgeons. The early section of the mesenteric vein with temporary venous shunting and the distal splenorenal shunt can reduce bleeding. Section and rotation of the splenic artery facilitate common hepatic artery resection and reconstruction.

Indexed as

AdenocarcinomaHepatic ArteryPancreatic NeoplasmsPancreaticoduodenectomyPortal VeinSplenic ArteryAgedFemaleHumansPrognosisCommon hepatic artery resectionLocally advanced pancreatic adenocarcinomaPancreaticoduodenectomySplenic artery reversalVenous shunting

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.