Pancreatic surgery for adenocarcinoma.

Abstract:

PURPOSE OF REVIEW:Pancreatic resection remains among the most formidable and complex of abdominal surgical operations. Nonetheless, recent observations have continued to provide incremental improvement in both our evidence for treatment regimens and the technology, resulting in better outcomes. RECENT FINDINGS:Neoadjuvant regimens appear to have promise, at least in local control and perhaps in long-term survival. More extensive operations focusing on perineural invasion along with minimally invasive laparoscopic and robotic techniques are attracting increasing attention. The effectiveness of major vascular resection remains controversial. Concentration of patients in centers of expertise has contributed to improved outcomes. SUMMARY:Improved management of pancreatic resections for cancer with more extensive and less-invasive surgical techniques has increased the number of patients who are candidates for effective surgical treatment.

authors

Warshaw AL,Lillemoe KD,Fernandez-del Castillo C

doi

10.1097/MOG.0b013e3283567f2c

subject

Has Abstract

pub_date

2012-09-01 00:00:00

pages

488-93

issue

5

eissn

0267-1379

issn

1531-7056

journal_volume

28

pub_type

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