Outcomes after distal pancreatectomy with celiac axis resection for pancreatic cancer: a single center retrospective study

Abstract

Introduction: As distal pancreatectomy with celiac axis resection (DP-CAR) is the only possible cure for pancreatic body and tail cancer with celiac axis involvement, we performed this study to show the post-operative outcomes of DP-CAR. Method: 48 patients with pancreatic body and tail cancer with celiac axis involvement who underwent DP-CAR in Asan medical center between January 2008 and December 2018 were included in the study. We retrospectively reviewed the patient's preoperative, operative and postoperative data. Primary outcome was major morbidity and 90-day mortality, and secondary outcome was overall survival. Results: Major morbidity occurred in 9 patients (18.8%). 13 patients (27.1%) had pancreatic fistula grade B or C according to ISGPS guideline. There was 1 case (2.1%) of 90-day mortality after operation. Kaplan-Meier estimated median overall survival was 25.0 months. Conclusions: DP-CAR is a good treatment option for cure in pancreatic body and tail cancer with celiac axis involvement without significant morbidity and mortality.