“…However, subsequent studies have found that EPD does not result in survival bene ts and might increase the incidence of postoperative complications. [5][6][7][8][9][10] In 2014, the International Pancreatic Surgery Research Group (ISGPS) reached a consensus about SPD that includes the 5, 6, 8a, 12b1, 12b2, 12c, 13a, 13b, 14a, 14b, 17a, and 17b lymph nodes. [11] Furthermore, some researchers reported that lymphadenectomy that includes the 12b,12c, 13, and 17 lymph nodes can be performed safely and e ciently, without negatively affecting oncologic e cacy or long-term survival, only compared with EPD.…”