Table 1.
Resectability criteria based on NCCN (National Comprehensive Cancer Network) and AHPBA/SSO/SSAT (Americas HepatoPancreato-Biliary Association/Society of Surgical Oncology/Society for Surgery of the Alimentary Tract) Consensus.
| Stage | SMA | CA | SMV |
|---|---|---|---|
| Resectable | No involvement | No involvement | No involvement or <180° contact without contour irregularities |
| Borderline Resectable | ≤180° contact | Contact with CHA without extension to CA | >180° contact or ≤180° contact with contour irregularity, with short segment involvement and suitable proximal and distal vessel for reconstruction |
| ≤180° contact | |||
| ≥180° contact without involvement of aorta | |||
| Locally advanced | Distant metastasis | Distant metastasis | Distant metastasis |
| >180° contact | >180° contact | Long segment involvement with difficult reconstruction | |
| Contact with 1st jejunal branch | Involvement of aorta | Contact with 1st draining jejunal branch |
SMA: superior mesenteric artery; CA: celiac axis; CHA: common hepatic artery; SMV: superior mesenteric vein; PV: portal vein.