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The patient was sent to neoadjuvant chemotherapy and he underwent 12 cycles of FOLFIRINOX. Since an important radiological response was observed after chemotherapy, the individual had been scheduled for extended distal pancreatectomy with en bloc resection regarding the thoracic wall, in order to achieve a radical resection. The surgery is herein explained along with technical details. The individual ended up being released after an uneventful early post-operative program and later readmitted for a late class
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