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Histopathological radical surgery was possible in all patients who underwent DP-TCR. No perioperative complications of grade IIIa or above in the Clavien-Dindo classification were observed in any patients.ConclusionsWe believe that DP-TCR is useful as a radical surgery for advanced pancreatic body and tail cancer with extrapancreatic invasions. Regular assessment of bone mineral density (BMD) using dual-energy X-ray absorptiometry (DXA) is essential for detecting glucocorticoid-induced osteoporosis in juvenile-onset autoimmune diseases.