Morbidity and Outcomes After Distal Pancreatectomy for Primary Retroperitoneal Sarcoma : An Analysis by the Trans-Atlantic Australasian Retroperitoneal Sarcoma Working Group

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Morbidity and Outcomes After Distal Pancreatectomy for Primary Retroperitoneal Sarcoma : An Analysis by the Trans-Atlantic Australasian Retroperitoneal Sarcoma Working Group

Bagaria, Sanjay P. (author): Mayo Clinic Florida

Swallow, Carol (author): Princess Margaret Hospital University of Toronto

Suraweera, Harini (author): Princess Margaret Hospital University of Toronto

Raut, Chandrajit P. (author): Brigham and Women's Hospital / Harvard Medical School

Fairweather, Mark (author): Brigham and Women's Hospital / Harvard Medical School

Cananzi, Ferdinando (author): Humanitas Research Hospital,Humanitas University

Quagliuolo, Vittorio (author): Humanitas Research Hospital,Humanitas University

Grignani, Giovanni (author): Institute for Cancer Research and Treatment, Candiolo

Hompes, Daphne (author): University Hospitals Leuven

Ford, Samuel J. (author): University Hospitals Birmingham

Nessim, Carolyn (author): University of Ottawa

Apte, Sameer (author): University of Ottawa

Skoczylas, Jacek (author): The Maria Sklodowska-Curie Memorial Cancer Center and Institute of Oncology

Rutkowski, Piotr (author): The Maria Sklodowska-Curie Memorial Cancer Center and Institute of Oncology

Bonvalot, Sylvie (author): Curie Institute, Paris

Tzanis, Dimitri (author): Curie Institute, Paris

Gabriel, Emmanuel (author): Mayo Clinic Florida

Pennacchioli, Elisabetta (author): European Institute of Oncology

Albertsmeier, Markus (author): Ludwig-Maximilian University of Munich

Canter, Robert J. (author): University of California, Davis

Pollock, Raphael (author): Ohio State University

Grignol, Valerie (author): Ohio State University

Cardona, Kenneth (author): Emory University

Gamboa, Adriana C. (author): Emory University

Novak, Marko (author): Institute of Oncology, Ljubljana

Stoeckle, Eberhard (author): Institut Bergoníe

Almquist, Martin (author): Lund University,Lunds universitet,Kirurgi, Lund,Sektion V,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Endokrin- och sarkomkirurgi,Forskargrupper vid Lunds universitet,Surgery (Lund),Section V,Department of Clinical Sciences, Lund,Faculty of Medicine,Endocrine and Sarcoma Surgery,Lund University Research Groups,Skåne University Hospital

Ahuja, Nita (author): Yale University

Klemen, Nicholas (author): Yale University

Van Houdt, Winan (author): Antoni Van Leeuwenhoek Hospital

Gyorki, David (author): Cedars-Sinai Medical Center

Gangi, Alexandra (author): Peter MacCallum Cancer Centre

Rastrelli, Marco (author): Veneto Institute of Oncology

van der Hage, Jos (author): Leiden University Medical Centre

Schrage, Yvonne (author): Leiden University Medical Centre

Valeri, Sergio (author)

Conti, Lorenzo (author): Istituto Nazionale dei Tumori

Spiegel, Matthew R. (author): Mayo Clinic Florida

Li, Zhou (author): Mayo Clinic Florida

Fiore, Marco (author): Istituto Nazionale dei Tumori

Gronchi, Alessandro (author): Istituto Nazionale dei Tumori

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(creator_code:org_t)

2021-03-19
2021
English 8 s.
In: Annals of Surgical Oncology. - : Springer Science and Business Media LLC. - 1068-9265 .- 1534-4681. ; 28:11, s. 6882-6889

Related links:: http://dx.doi.org/10...; show more...; https://lup.lub.lu.s...; https://doi.org/10.1...; show less...

Journal article (peer-reviewed)

Abstract Subject headings

Background: Multi-visceral resection often is used in the treatment of retroperitoneal sarcoma (RPS). The morbidity after distal pancreatectomy for primary pancreatic cancer is well-documented, but the outcomes after distal pancreatectomy for primary RPS are not. This study aimed to evaluate morbidity and oncologic outcomes after distal pancreatectomy for primary RPS. Methods: In this study, 26 sarcoma centers that are members of the Trans-Atlantic Australasian Retroperitoneal Sarcoma Working Group (TARPSWG) retrospectively identified consecutive patients who underwent distal pancreatectomy for primary RPS from 2008 to 2017. The outcomes measured were 90-day severe complications (Clavien-Dindo ≥ 3), postoperative pancreatic fistula (POPF) rate, and oncologic outcomes. Results: Between 2008 and 2017, 280 patients underwent distal pancreatectomy for primary RPS. The median tumor size was 25 cm, and the median number of organs resected, including the pancreas, was three. In 96% of the operations, R0/R1 resection was achieved. The 90-day severe complication rate was 40 %. The grades B and C POPF complication rates were respectively 19% and 5% and not associated with worse overall survival. Administration of preoperative radiation and factors to mitigate POPF did not have an impact on the risk for the development of a POPF. The RPS invaded the pancreas in 38% of the patients, and local recurrence was doubled for the patients who had a microscopic, positive pancreas margin (hazard ratio, 2.0; p = 0.042). Conclusion: Distal pancreatectomy for primary RPS has acceptable morbidity and oncologic outcomes and is a reasonable approach to facilitate complete tumor resection.

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By the author/editor: Bagaria, Sanjay ...; Swallow, Carol; Suraweera, Harin ...; Raut, Chandrajit ...; Fairweather, Mar ...; Cananzi, Ferdina ...; show more...; Quagliuolo, Vitt ...; Grignani, Giovan ...; Hompes, Daphne; Ford, Samuel J.; Nessim, Carolyn; Apte, Sameer; Skoczylas, Jacek; Rutkowski, Piotr; Bonvalot, Sylvie; Tzanis, Dimitri; Gabriel, Emmanue ...; Pennacchioli, El ...; Albertsmeier, Ma ...; Canter, Robert J ...; Pollock, Raphael; Grignol, Valerie; Cardona, Kenneth; Gamboa, Adriana ...; Novak, Marko; Stoeckle, Eberha ...; Almquist, Martin; Ahuja, Nita; Klemen, Nicholas; Van Houdt, Winan; Gyorki, David; Gangi, Alexandra; Rastrelli, Marco; van der Hage, Jo ...; Schrage, Yvonne; Valeri, Sergio; Conti, Lorenzo; Spiegel, Matthew ...; Li, Zhou; Fiore, Marco; Gronchi, Alessan ...; show less...

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MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Clinical Medicin ...; and Surgery

Articles in the publication: Annals of Surgic ...

By the university: Lund University

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Morbidity and Outcomes After Distal Pancreatectomy for Primary Retroperitoneal Sarcoma : An Analysis by the Trans-Atlantic Australasian Retroperitoneal Sarcoma Working Group

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