Evidence map›Paper›PMID 41799586›Full record

ArticleAnnals of gastroenterological surgery2026

Learning Curve Effect in Reducing Local Recurrence Rate After Resection of Pancreatic Cancer With Arterial Abutment: A Single-Center Retrospective Study.

Jun Ishida, Hirochika Toyama, Takayuki Kodama, Yoshihide Nanno, Takuya Mizumoto, Shohei Komatsu, Hiroaki Yanagimoto, Masahiro Kido, Tomoo Ito, Takumi Fukumoto

Abstract read
In one paragraph

Article in Annals of gastroenterological surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

10 authors.

Jun IshidaDivision of Hepato-Biliary-Pancreatic Surgery, Department of Surgery Kobe University, Graduate School of Medicine Kobe Japan.ORCID https://orcid.org/0000-0001-7550-448X
Hirochika ToyamaDivision of Hepato-Biliary-Pancreatic Surgery, Department of Surgery Kobe University, Graduate School of Medicine Kobe Japan.ORCID https://orcid.org/0000-0003-0360-8460
Takayuki KodamaDepartment of Diagnostic Pathology Kobe University Graduate School of Medicine Kobe Japan.ORCID https://orcid.org/0000-0002-6518-5574
Yoshihide NannoDivision of Hepato-Biliary-Pancreatic Surgery, Department of Surgery Kobe University, Graduate School of Medicine Kobe Japan.ORCID https://orcid.org/0000-0002-9539-0560
Takuya MizumotoDivision of Hepato-Biliary-Pancreatic Surgery, Department of Surgery Kobe University, Graduate School of Medicine Kobe Japan.ORCID https://orcid.org/0000-0002-8665-2776
Shohei KomatsuDivision of Hepato-Biliary-Pancreatic Surgery, Department of Surgery Kobe University, Graduate School of Medicine Kobe Japan.ORCID https://orcid.org/0000-0001-9059-2473
Hiroaki YanagimotoDivision of Hepato-Biliary-Pancreatic Surgery, Department of Surgery Kobe University, Graduate School of Medicine Kobe Japan.ORCID https://orcid.org/0000-0001-6493-4732
Masahiro KidoDivision of Hepato-Biliary-Pancreatic Surgery, Department of Surgery Kobe University, Graduate School of Medicine Kobe Japan.
Tomoo ItoDepartment of Diagnostic Pathology Kobe University Graduate School of Medicine Kobe Japan.
Takumi FukumotoDivision of Hepato-Biliary-Pancreatic Surgery, Department of Surgery Kobe University, Graduate School of Medicine Kobe Japan.ORCID https://orcid.org/0000-0003-1592-4524

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Pancreatectomy for pancreatic ductal adenocarcinoma (PDAC) with arterial abutment is a complex, high-risk surgery. We aimed to investigate the clinicopathological features, risk factors, and learning curve for local recurrence after pancreatectomy for PDAC with arterial abutment. Methods: Sixty consecutive patients who underwent pancreatectomy for borderline resectable and locally advanced PDAC with arterial abutment at Kobe University Hospital between 2010 and 2020 were enrolled in this retrospective study. Logistic regression analysis was performed to investigate the risk factors for local recurrence. The local recurrence rate was examined for every 10 cases over time. Results: Eighteen (30.0%) patients developed local recurrence; 12 (20.0%) developed local-only recurrence, and six (10.0%) developed local and other recurrences. The median survival time after surgery was similar between patients with local-only ( Conclusions: Local recurrence has a significant impact on survival, as do other recurrences after pancreatectomy for PDAC with arterial abutment. A learning curve may exist for the local recurrence rate, suggesting that it should be performed by experienced surgical teams at high-volume centers.

Indexed as

borderline resectablelearning curvelocally advancedlocal recurrencepancreatic ductal adenocarcinoma

Identifiers

PMID41799586
PMCPMC12962044

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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.