Table 2.
Resectable | Borderline resectable | Unresectable | |
---|---|---|---|
Venous | Patent SMV and portal vein | Severe SMV impingement or reconstructable SMV occlusion | Unreconstructable SMV/portal occlusion Greater than 180° SMA encasement |
Arterial | Clear fat plane around celiac A and SMA | Less than 180° abutment of SMA, reconstructable encasement of SMA Reconstructable abutment or encasement of hepatic artery |
Greater than 180° SMA encasement Unreconstructable SMA involvement Any celiac abutment (head mass) Greater than 180° SMA encasement (body mass) |
Aorta | Aortic invasion or encasement | ||
Mets | No distant metastases | Distant metastases Metastases to LN beyond field of resection |