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While vascular invasion, liver metastasis, and carcinomatosis rates remained stable, para-aortic lymph nodes invasion rate (0.4% vs 4.6%; P 0.001) significantly increased over the 2 periods. The mean size of the bigger extra pancreatic tumor significantly decrease (7.9 mm vs 6.4 mm (P .01), respectively) when the resection was not done. In multivariate analysis, CA 19-9 500 U/mL (P .01), and liver DW-MRI prescription (P .01) favoured the resection. Due to changes in our therapeutic strategies, the NRR did not dec
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