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. 2021 Mar 10;10(6):1151. doi: 10.3390/jcm10061151

Table 1.

Definition criteria of resectability by NCCN v 1.2019.

Resectability Status Arterial Venous
Resectable No tumoral contact with CeT, SMA, or CHA No tumoral contact with SMV, PV, or ≤180° without irregularity of the venous contour
Resectability borderline Head and uncinate process:
  • Tumoral contact with CHA without CeT extension or CHA bifurcation allowing safety and complete resection and reconstruction

  • Tumoral contact in SMA ≤ 180°.

  • Tumoral contact with an anatomical variant of CHA

Head and uncinate process:
  • Tumoral contact with IVC, PV > 180° with venous contour irregularities or thrombosis, but with free proximal and distal portions that allow a suitable resection

Body-tail:
  • Tumoral contact with CeT ≤ 180°

  • Tumoral contact with CeT ≥ 180° without aorta involvement, with gastroduodenal artery intact

Unresectable Distant metastasis (includes lymph nodes but not regionals):
Head and uncinate process:
  • Tumoral contact with AMS > 180°

  • Tumoral contact in CeT > 180°

Head and uncinate process:
  • SMV and PV irreconstructable by thrombosis or tumoral infiltration.

  • Contact with the sewer system in the 1st jejunal venous branch

Body-tail:
  • Tumoral contact with AMS or CeT > 180°

  • Tumoral contact with CeT and aorta

Body-tail:
  • SMV and PV irreconstructable by thrombosis or tumoral infiltration

CeT: celiac trunk; SMA: superior mesenteric artery; CHA: common hepatic artery; SMV: superior mesenteric vein; PV: portal vein; IVC: inferior vena cava.