Role of surgery in the treatment of bilio-pancreatic cancer: the European experience.

Abstract:

:Pancreatic cancer is the eighth most common cancer in Europe, accounting for 4.1% of cancer deaths in men and 4.8% in women. Standardized pancreatoduodenectomy and left pancreatectomy are the gold standard for routine surgical treatment of pancreatic cancer. Total pancreatectomy should be reserved for positive pancreatic resection margins or severe pancreatic anastomotic leak; mesenterico-portal vein resection should be performed only when it is the only reasonable way to obtain clear margins. Extended lymphadenectomies are recommended only in prospective, randomized studies. Ongoing efforts to standardize surgical procedures will facilitate comparison of selection criteria and trial data among different centers, and will also optimize the study design of ongoing/planned prospective trials using adjuvant and neoadjuvant chemoradiotherapy in pancreatic cancer.

journal_name

Semin Oncol

journal_title

Seminars in oncology

authors

Pedrazzoli S,Pasquali C,Sperti C

doi

10.1053/sonc.2002.37379

subject

Has Abstract

pub_date

2002-12-01 00:00:00

pages

23-30

issue

6 Suppl 20

eissn

0093-7754

issn

1532-8708

pii

S0093-7754(02)70023-7

journal_volume

29

pub_type

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