Pancreatic Resections for Advanced M1-Pancreatic Carcinoma: The Value of Synchronous Metastasectomy

Table 2

Localisation of primary tumor, site of metastasis, TNM-staging, type of surgery, and survival of 20 patients with M1-pancreatic adenocarcinoma.

No.	Primary tumor	Site of metastasis	TNM	R	Type of surgery	Survival (mo)	Status
1	Pancreatic tail	Liver segment 5 and 6, peritoneum	T3N0M1	R2	Distal pancreatectomy, tumor debulking	5.3	Dead
2	Pancreatic head	Liver (multifocal), peritoneum, mesocolon transversum	T3N1M1	R2	pp-Whipple	21.3	Dead
3	Pancreatic body	Liver segment 2/3, peritoneum, stomach, mesocolon transversum, diaphragm	T3N1M1	R0	Distal pancreatic resection, gastrectomy, left hemicolectomy, liver segment 2/3	2.6	Dead
4	Pancreatic head	Liver segment 2/3, peritoneum	T3N1M1	R2	Whipple procedure, gastrectomy, right hemicolectomy	15.2	Dead
5	Pancreatic head	Liver segment 3	T3N1M1	R0	pp-Whipple, atyp. liver segment 3	9.3	Dead
6	Pancreatic tail	Peritoneum, ovary, infiltration of stomach, colon transversum and left kidney	T4N1M1	R2	Distal pancreatectomy, 2/3 gastric resection, left hemicolectomy, left nephrectomy, left adrenalectomy	5.1	Dead
7	Pancreatic body	Liver segment 3,5, infiltration of stomach and celiac trunk	T3N1M1	R0	Distal pancreatectomy, subtotal gastric resection, liver resection seg. 3 + 5	10.6	Dead
8	Pancreatic head	Omentum majus	T3N0M1	R0	Whipple-procedure, partial portal vein resection, omentectomy	20.6	Dead
9	Pancreatic head	Liver segment 4b	T3N1M1	R0	pp-Whipple, liver segment 4b	37.8	Alive
10	Pancreatic body	Liver segment 3, 4b, 5, peritoneum, portal vein and pylorus infiltration	T3N1M1	R1	Pancreatectomy, 2/3 gastric resection, atypical liver resection, partial portal vein resection	10.6	Dead
11	Pancreatic head	Liver segment 2, 3, 4	T3N1M1	R2	pp-Whipple, Biopsy segment 3	6.8	Dead
12	Pancreatic body	Liver bilobar	T3N1M1	R2	Distal pancreatic resection, liver segment 3 and 7	23.7	Alive
13	Pancreatic head	Liver segment 3	T3N1M1	R0	pp-Whipple, atypical liver segment 3	11	Dead
14	Papilla	Diffuse lymph node metastases	T3N1M1	R0	pp-Whipple, lymph node resection	18,2	Dead
15	Pancreatic tail	Stomach infiltration	T3N0M1	R0	Distal pancreatic resection, gastric resection	25.6	Dead
16	Pancreatic tail	Liver bilobar, Stomach infiltration	T3N0M1	R2	Distal pancreatic resection, gastric resection	14.3	Alive
17	Pancreatic head	Liver segment 4 a + b	T3N1M1	R0	pp-Whipple, atypical liver resection	12.5
18	Pancreatic tail	Liver segment 5 + 8, metastasis stomach, infiltration of left adrenal and splenic artery	T3N1M1	R2	Distal pancreatic resection, left adrenalectomy, gastric resection	10.5	Dead
19	Pancreatic head	Infiltration of stomach and portal vein	T3N1M1	R0	Pancreatectomy, 2/3-gastric resection, portal vein resection	14.1	Dead
20	Papilla	Liver segment 3 + 4a	T4N1M1	R2	pp-Whipple, liver segment 3, 4a	8	Dead

(1) pp-Whipple: pylorus-preserving pancreaticoduodenectomy.