Para-aortic lymph node involvement should not be a contraindication to resection of pancreatic ductal adenocarcinoma.

Age, pN, PALN metastases, perineural and perivascular invasion approached but did not achieve significance (Table 3 ).

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This may reflect a treatment selection bias by the oncology teams as patients with more aggressive disease received more commonly chemotherapy in the adjuvant period (71% for PALN positive disease compared to 58% for PALN negative), even though this difference did not reach statistical significance.

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