Fifty Years of Surgery for Pancreatic Cancer.

Abstract:

:The surgical treatment of pancreatic cancer (PDAC) has seen sweeping changes during the past 5 decades. Up to the middle of the 20th century resection rates were below 5%, but the numbers of curative resections for PDAC are now continuously increasing due to improved neoadjuvant treatment concepts as well as progress in surgical techniques and perioperative management. During the same period, mortality rates after pancreatic surgery have decreased considerably and are now less than 5%. One of the most important cornerstones of reduced mortality has been the concentration of PDAC surgery in specialized centers. In addition, the management of postoperative complications has improved greatly as a result of optimized interdisciplinary teamwork. Adjuvant chemotherapy has become the reference treatment in resected PDAC, achieving significantly prolonged survival. Moreover, the concept of borderline resectable PDAC has emerged to characterize tumors with increased risk for tumor-positive resection margins or worse outcome. The best treatment strategy for borderline resectable PDAC is currently under debate, whereas neoadjuvant therapy has become established as a beneficial treatment option for patients with locally advanced PDAC, enabling conversion surgery in up to 60% of cases. This review article summarizes the principal changes in PDAC surgery during the past 50 years.

journal_name

Pancreas

journal_title

Pancreas

authors

Hackert T,Klaiber U,Pausch T,Mihaljevic AL,Büchler MW

doi

10.1097/MPA.0000000000001634

subject

Has Abstract

pub_date

2020-09-01 00:00:00

pages

1005-1013

issue

8

eissn

0885-3177

issn

1536-4828

pii

00006676-202009000-00001

journal_volume

49

pub_type

杂志文章

相关文献

PANCREAS文献大全
  • C-terminal tensin-like gene functions as an oncogene and promotes cell motility in pancreatic cancer.

    abstract:OBJECTIVES:C-terminal tensin-like gene (CTEN, also known as TNS4) localizes to focal adhesions and is reported to function as an oncogene in colonic, breast, lung, and gastric cancers. Its role in pancreatic cancer is unknown and was thus investigated in this study. METHODS:C-terminal tensinlike gene expression was ev...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/MPA.0b013e3182557ceb

    authors: Al-Ghamdi S,Cachat J,Albasri A,Ahmed M,Jackson D,Zaitoun A,Guppy N,Otto WR,Alison MR,Kindle KB,Ilyas M

    更新日期:2013-01-01 00:00:00

  • Endothelin A but not endothelin B receptor blockade reduces capillary permeability in severe experimental pancreatitis.

    abstract:INTRODUCTION:Microcirculatory disorders, in particular increased capillary permeability (CapPerm), contribute to the multiple organ dysfunction syndrome in severe acute pancreatitis (AP). Endothelin receptor antagonists (ET-RA) have been shown to stabilize capillary leakage and improve organ function in AP. AIM:To fin...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/00006676-200208000-00019

    authors: Eibl G,Forgacs B,Hotz HG,Buhr HJ,Foitzik T

    更新日期:2002-08-01 00:00:00

  • Galanin in the regulation of pancreatic vascular perfusion.

    abstract:OBJECTIVES:Acute pancreatitis is associated with compromised pancreatic microcirculation. Galanin is a vasoactive neuropeptide, but its role in the regulation of pancreatic vascular perfusion (PVP) is unclear. METHODS:Localization of galanin immunoreactivity was investigated by immunohistochemistry, and the effects of...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/MPA.0b013e31815ac561

    authors: Brooke-Smith ME,Carati CJ,Bhandari M,Toouli J,Saccone GT

    更新日期:2008-04-01 00:00:00

  • Acute Pancreatitis and Use of Pancreatitis-Associated Drugs: A 10-Year Population-Based Cohort Study.

    abstract:OBJECTIVES:To assess the use of acute pancreatitis (AP)-associated drugs in patients with AP, the relation between sales of these drugs and the incidence of AP, and the potential impact on AP severity and recurrence. METHODS:All patients with incident AP between 2003 and 2012, in a well-defined area, were retrospectiv...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/MPA.0000000000000406

    authors: Bertilsson S,Kalaitzakis E

    更新日期:2015-10-01 00:00:00

  • Acute postprandial gastrointestinal and metabolic effects of wheat amylase inhibitor (WAI) in normal, obese, and diabetic humans.

    abstract::Amylase inhibition has gastrointestinal and metabolic effects that may aid in the treatment of diabetes and obesity. We tested whether 4 g of a commercially available wheat amylase inhibitor (WAI) affected postprandial carbohydrate (CHO) absorption and plasma glucose or hormones. Twelve persons (four lean and four obe...

    journal_title:Pancreas

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00006676-199808000-00011

    authors: Lankisch M,Layer P,Rizza RA,DiMagno EP

    更新日期:1998-08-01 00:00:00

  • Engulfment of gram-positive bacteria by pancreatic stellate cells in pancreatic fibrosis.

    abstract:OBJECTIVES:We previously reported the finding that pancreatic stellate cells (PSCs) have a phagocytic function. The aim of the present study was to investigate whether engulfment of gram-positive bacteria by PSCs plays any role in the pathogenesis of pancreatic fibrosis. METHODS:Rat PSCs were cultured with lipoteichoi...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/MPA.0b013e3181d7ace1

    authors: Morishita K,Shimizu K,Haruta I,Kawamura S,Kobayashi M,Shiratori K

    更新日期:2010-10-01 00:00:00

  • Evidence of pituitary adenylate cyclase activating polypeptide (PACAP) in pancreatic islet cells by confocal microscopy.

    abstract::Several studies have shown that pituitary adenylate cyclase activating polypeptide (PACAP) stimulates at very low concentration insulin release from pancreatic beta cells. In addition, PACAP has been evidenced in pancreatic nervous fibers surrounding the islets, the core of the islet, and the capillaries. The aim of t...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/00006676-200107000-00010

    authors: Petruzzo P,Cappai A,Spiga S,Picciau S,Serra G,Fattore L,Onali P,Brotzu G

    更新日期:2001-07-01 00:00:00

  • Impact of Treatments on Diabetic Control and Gastrointestinal Symptoms After Total Pancreatectomy.

    abstract:OBJECTIVES:The aims of this study were to compare the safety, efficacy, and patients' quality of life with continuous subcutaneous insulin infusion (CSII) versus multiple daily injections (MDIs) in type 3c diabetes mellitus (T3cDM) following total pancreatectomy (TP) and pancreatic enzyme usage. METHODS:Thirty-nine pa...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/MPA.0000000000000917

    authors: Struyvenberg MR,Fong ZV,Martin CR,Tseng JF,Clancy TE,Fernández-Del Castillo C,Tillman HJ,Bellin MD,Freedman SD

    更新日期:2017-10-01 00:00:00

  • GIP potentiates CCK stimulated pancreatic enzyme secretion: correlation of anatomical structures with the effects of GIP and CCK on amylase secretion.

    abstract::Utilizing scanning electron microscopy and isolated, vascularly perfused rat pancreas, we studied the angioarchitecture and the effect of the insulinotropic hormone, gastric inhibitory polypeptide (GIP), on cholecystokinin (CCK)-stimulated exocrine secretion. We tried to correlate the microcirculation with the physiol...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/00006676-198701000-00016

    authors: Mueller MK,Scheck T,Dreesmann V,Miodonski A,Goebell H

    更新日期:1987-01-01 00:00:00

  • Analysis of the human pancreatic stellate cell secreted proteome.

    abstract:OBJECTIVE:Pancreatic stellate cells (PSCs) are important players in pancreatic fibrosis and are major contributors to the extracellular matrix proteins observed with the stromal response characteristic of pancreatic ductal adenocarcinoma (PDAC). Pancreatic stellate cells are also believed to secrete soluble factors tha...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/MPA.0b013e318214efaf

    authors: Wehr AY,Furth EE,Sangar V,Blair IA,Yu KH

    更新日期:2011-05-01 00:00:00

  • Immunohistochemical localization of beta-1,4-galactosyltransferase in human pancreatic tissues.

    abstract::beta-1,4-Galactosyltransferase (GalTase) is the glycosyltransferase in the Golgi apparatus that transfers galactose from UDP-galactose to terminal N-acetylglucosamine residues in glycoconjugates with formation of a beta-1,4 linkage. Neoplasms undergo various changes in the carbohydrate moieties of their glycoconjugate...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/00006676-199908000-00006

    authors: Yamamoto K,Kawakami H,Sugiyama M,Atomi Y,Hirano H

    更新日期:1999-08-01 00:00:00

  • Effects of the cholecystokinin A receptor antagonist loxiglumide on the proliferation and cell cycle time of pancreatic acinar cells in rats.

    abstract:OBJECTIVES:Prior studies have indicated that endogenous or exogenous cholecystokinin (CCK) induces transient acinar cell proliferation at about 24 hours after its stimulation. The aims of the present study were to determine the time point when the administration of the CCK-A-receptor antagonist loxiglumide had its maxi...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/01.mpa.0000202960.63977.d1

    authors: Kanemitsu D,Sakagami J,Motoyoshi T,Nakajima T,Kataoka K

    更新日期:2006-03-01 00:00:00

  • Evaluation of Phase II Trial Design in Advanced Pancreatic Cancer.

    abstract:OBJECTIVES:We evaluated how well phase II trials in locally advanced and metastatic pancreatic cancer (LAMPC) meet current recommendations for trial design. METHODS:We conducted a systematic review of phase II first-line treatment trial for LAMPC. We assessed baseline characteristics, type of comparison, and primary e...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/MPA.0000000000001429

    authors: Tang M,Chen J,Goldstein D,Links M,Lord S,Marschner I,Simes RJ,Lee CK

    更新日期:2019-11-01 00:00:00

  • Atrial natriuretic factor and exocrine pancreas: autoradiographic localization of binding sites and ultrastructural evidence for internalization of endogenous ANF.

    abstract::Atrial natriuretic factor (ANF) binding sites in adult rat exocrine pancreas were studied by autoradiography using slide-mounted frozen tissue sections with mono-iodinated ANF (101-126) as the tracer. Radiolabel was displaced by unlabeled atrial peptide (IC50 = 2 X 10(-11) M). High specific labeling was found in pancr...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:

    authors: Chabot JG,Morel G,Kopelman H,Belles-Isles M,Heisler S

    更新日期:1987-01-01 00:00:00

  • On the mechanisms of 12-O-tetradecanoylphorbol-13-acetate-induced growth arrest in pancreatic cancer cells.

    abstract:OBJECTIVES:Protein kinase C (PKC) is involved in cell growth, differentiation, and apoptosis. We investigated the effects of the PKC activator, the tetradecanylphorbol acetate (TPA), in human pancreatic cancer cells. METHODS:Cell proliferation was measured by thymidine incorporation. Expression of cell cycle proteins ...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/01.mpa.0000226896.93945.41

    authors: Salabat MR,Ding XZ,Flesche JB,Ujiki MB,Robin TP,Talamonti MS,Bell RH Jr,Adrian TE

    更新日期:2006-08-01 00:00:00

  • Prior History of Pancreatitis Accelerates the Development of Pancreatic Adenocarcinoma.

    abstract:OBJECTIVES:Presentation of pancreatic adenocarcinoma (PC) as acute pancreatitis (AP), association of chronic pancreatitis (CP) with PC, and role of inflammation in PC carcinogenesis are well recognized. We hypothesized that inflammatory changes associated with remote history of AP (≥2 years before PC diagnosis) would r...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/MPA.0000000000001160

    authors: Phillips AE,Shah N,Borhani AA,Yadav D,Brand RE

    更新日期:2018-11-01 00:00:00

  • Endocrine pancreas in the rat model of exocrine pancreatic insufficiency.

    abstract::A new technique to obstruct the pancreatic ducts was developed by injecting zein solution into the common bile duct of the rat. Four weeks after the injection, the fate of the endocrine pancreas was investigated by studying (a) pancreatic content of four pancreatic hormones, (b) histology and immunohistochemistry of t...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/00006676-198810000-00010

    authors: Tomita T,Rhodes J,Falscroft J,Doull V,Kimmel JR,Pollock HG

    更新日期:1988-01-01 00:00:00

  • Biliary Stenosis and Gastric Outlet Obstruction: Late Complications After Acute Pancreatitis With Pancreatic Duct Disruption.

    abstract:OBJECTIVES:Pancreatic duct disruption (PDD) after acute pancreatitis can cause pancreatic collections in the early phase and biliary stenosis (BS) or gastric outlet obstruction (GOO) in the late phase. We aimed to document those late complications after moderate or severe acute pancreatitis. METHODS:Between September ...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/MPA.0000000000001064

    authors: Sugimoto M,Sonntag DP,Flint GS,Boyce CJ,Kirkham JC,Harris TJ,Carr SM,Nelson BD,Bell DA,Barton JG,Traverso LW

    更新日期:2018-07-01 00:00:00

  • Evaluation of pancreatic exocrine function by secretin-enhanced magnetic resonance cholangiopancreatography.

    abstract:AIM:To assess the feasibility and usefulness of secretin-enhanced magnetic resonance cholangiopancreatography (S-MRCP) for evaluation of pancreatic exocrine function. METHODOLOGY:S-MRCP was performed in 20 patients with mild (n = 8) or severe (n = 12) chronic pancreatitis (according to the grade of exocrine pancreatic...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/00006676-200110000-00015

    authors: Czakó L,Endes J,Takács T,Boda K,Lonovics J

    更新日期:2001-10-01 00:00:00

  • Distributional patterns of phospholipase C isozymes in rat pancreas.

    abstract::Phospholipase C (PLC) isozymes are believed to play a role in regulating pancreatic exocrine and endocrine secretion. In an attempt to investigate the role of PLC, we examined the distribution patterns of PLC isozymes in the normal rat pancreas by Western blot analysis and immunohistochemistry. Western blot analysis w...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/00006676-200101000-00008

    authors: Kim MJ,Lee KH,Min DS,Yoon SH,Hahn SJ,Kim MS,Jo YH

    更新日期:2001-01-01 00:00:00

  • Serum deprivation induces glucose response and intercellular coupling in human pancreatic adenocarcinoma PANC-1 cells.

    abstract:OBJECTIVE:This study aimed to investigate whether the previously described differentiating islet-like aggregates of human pancreatic adenocarcinoma cells (PANC-1) develop glucose response and exhibit intercellular communication. METHODS:Fura 2-loaded PANC-1 cells in serum-free medium were assayed for changes in cytoso...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/MPA.0b013e3182277e56

    authors: Hiram-Bab S,Shapira Y,Gershengorn MC,Oron Y

    更新日期:2012-03-01 00:00:00

  • Conversion of human pancreatic acinar cells toward a ductal-mesenchymal phenotype and the role of transforming growth factor β and activin signaling.

    abstract:OBJECTIVE:Epithelial-mesenchymal transition may interfere with the differentiation of cultured pancreatic acinar cells toward endocrine cells. Therefore, it will be important to investigate into detail the reprogramming of human pancreatic acinar cells toward a mesenchymal phenotype: the association with acinoductal tr...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/MPA.0000000000000154

    authors: De Waele E,Wauters E,Ling Z,Bouwens L

    更新日期:2014-10-01 00:00:00

  • Hematogenous metastases of pancreatic ductal carcinoma.

    abstract::To investigate the heterogeneity of hematogenous metastases of pancreatic ductal carcinoma, we investigated carcinomatous spread in 130 autopsy cases. Hepatic metastases occurred most frequently, in 81 cases (62%), which may be explained by the fact that all veins draining the pancreas flow into the portal system. We ...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/00006676-199511000-00005

    authors: Kamisawa T,Isawa T,Koike M,Tsuruta K,Okamoto A

    更新日期:1995-11-01 00:00:00

  • Defatted bovine colostrum-supplemented diet around weaning improves exocrine pancreatic secretion by means of volume, digestive enzymes, and antibacterial activity.

    abstract:OBJECTIVES:Exocrine pancreatic secretion contributes to limit pathogenic bacteria-associated diarrhea. Bovine colostrum, used in the treatment of diarrhea, reduces symptoms originating from gut pathogenic bacteria overgrowth. We hypothesized that bovine colostrum may stimulate the exocrine pancreatic secretion. METHOD...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/MPA.0b013e318192eb83

    authors: Huguet A,Savary G,Bobillier E,Le Huërou-Luron I

    更新日期:2009-04-01 00:00:00

  • The National Pancreas Foundation fellows symposium program 2006 to 2009.

    abstract::Clinical and translational research is critical for the development of improvement in care of pancreatic diseases. Major concerns are the lack of dedicated trainees in pancreatic research and the difficulty for the remaining trainees to develop independent research careers to be included into the pancreas research com...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/MPA.0b013e3181c63422

    authors: Gelrud A,Whitcomb DC

    更新日期:2010-04-01 00:00:00

  • Analysis of K-ras codon 12 point mutations using duodenal lavage fluid for diagnosis of pancreatic carcinoma.

    abstract::We evaluated the diagnostic significance of the K-ras point mutations at codon 12 in duodenal lavage fluid (DLF) compared with pure pancreatic juice (PPJ). The DLF was easily and safely collected by injecting distilled water into the duodenum and then aspirating through the working channel of the endoscope during endo...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/00006676-199903000-00004

    authors: Nakamura Y,Onda M,Uchida E

    更新日期:1999-03-01 00:00:00

  • Pharmacokinetic approach to the estimation of hepatic removal of insulin.

    abstract::We simultaneously measured hepatic insulin removal invasively and estimated hepatic clearance and extraction of insulin pharmacokinetically from cardiac output and peripheral plasma concentrations (relatively) noninvasively. The invasive methods involved continuous electromagnetic measurements of portal venous and hep...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/00006676-198611000-00013

    authors: Berzins R,Tam YK,Molnar GD,Rajotte RV,Wieczorek KR,McGregor JR,Fawcett DM

    更新日期:1986-01-01 00:00:00

  • Prediction of Unresectability and Prognosis in Patients Undergoing Surgery on Suspicion of Pancreatic Cancer Using Carbohydrate Antigen 19-9, Interleukin 6, and YKL-40.

    abstract:OBJECTIVES:The aim was to determine whether serum levels of carbohydrate antigen (CA) 19-9, interleukin 6 (IL-6), and YKL-40 could identify advanced disease and poor prognosis in pancreatic cancer (PC) patients intraoperatively diagnosed with locally advanced or metastatic disease. METHODS:Two hundred ninety patients ...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/MPA.0000000000001466

    authors: Palmquist C,Dehlendorff C,Calatayud D,Hansen CP,Hasselby JP,Johansen JS

    更新日期:2020-01-01 00:00:00

  • Hypochlorhydria and achlorhydria are associated with false-positive secretin stimulation testing for Zollinger-Ellison syndrome.

    abstract:OBJECTIVES:Secretin stimulation testing (SST) is used to evaluate patients with hypergastrinemia in the diagnosis of Zollinger-Ellison syndrome. Case series have documented false-positive SST in patients with achlorhydria. This study reviews our experience with SST in hypochlorhydric and achlorhydric patients. METHODS...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/MPA.0b013e3182847b2e

    authors: Shah P,Singh MH,Yang YX,Metz DC

    更新日期:2013-08-01 00:00:00

  • Prevention of recurrent acute pancreatitis in patients with severe hypertriglyceridemia: value of regular plasmapheresis.

    abstract::The association between acute pancreatitis and severe hypertriglyceridemia has long been recognized. We report two cases of severe primary hypertriglyceridemia (types 1 and V) with recurrent acute pancreatitis. In both patients, observance of appropriate diet and drug therapy was insufficient. Recurrent episodes of pa...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/00006676-199607000-00013

    authors: Piolot A,Nadler F,Cavallero E,Coquard JL,Jacotot B

    更新日期:1996-07-01 00:00:00