Table 2.
Resectable |
---|
(i) No distant metastases |
(ii) No extension to the SMA; normal fat plant between the tumour and SMA |
(iii) No extension to the coeliac axis or HA |
(iv) Patent SMV/PV |
|
Borderline resectable |
|
(i) Tumour abutment ≤180° (≤50%) of the circumference of the SMA |
(ii) Short-segment encasement/abutment of the CHA (typically at the GDA origin) |
(iii) Short-segment occlusion of the SMV/PV with suitable vessel above and below |
|
Unresectable |
|
(i) Encased SMA (>180°) |
(ii) Encased HA with no technical option for reconstruction |
(iii) Occluded SMV/PV wih no technical option for reconstruction |
CHA = common hepatic artery
GDA = Gastroduodenal artery
HA = Hepatic artery
PV = Portal vein
SMV = Superior mesenteric vein
SMA = Superior mesenteric artery.