The incidence of LPLN metastasis is high even after preoperative CRT, and LPLD might improve local control and survival of patients with LPLN metastasis in advanced low rectal cancer treated with preoperative CRT.

MRI before CRT is useful to predict LPLN metastasis and to determine the indications for LPLD.

Pancreaticoduodenectomy with splenic vein ligation may lead to sinistral portal hypertension. To avoid the development of varices, it is important to preserve the right colic marginal vein. Reconstruction of the splenic vein should be considered if the right colic marginal vein is divided.

No abstract

CE-IOUS is useful in hepatic resection for CRLM, even if EOB-MRI and CE-CT are performed.