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Distal LAPC customers, in particular those who have considerable size decrease after neoadjuvant chemoradiation, with encasement of CA and without encasement of SMA and GDA can go through a theoretically successful modified Appleby treatment. CTA provides precise and valuable perioperative evaluation regarding the surgical candidates.Distal LAPC customers, in certain individuals who have considerable dimensions decrease after neoadjuvant chemoradiation, with encasement of CA and without encasement