Pancreatic surgery

Current Opinion in Gastroenterology
O Joe Hines, Howard A Reber

Abstract

Pancreatic surgery is a very challenging field and the management of pancreatic diseases continues to evolve. This report reviews the most recent information relating to pancreatic surgery. Startlingly, it appears that a third of patients with resectable pancreatic cancer do not receive an operation in the United States, but for those who do receive surgery new emphasis on adequate lymph node staging has been reported. Assessment of guidelines for the treatment of intraductal papillary mucinous neoplasm and cystic lesions of the pancreas appear to validate the current practice. Extended pancreatic resections with vascular resection appear safe and with reasonable survival outcomes. The use of laparoscopic techniques for the pancreas continues to advance. Finally, patients with chronic pancreatitis appear better served by operative techniques rather than endoscopic approaches. Pancreatic surgery is a fascinating field as we learn more about the biology of the conditions that afflict this gland and the best practices to address these diseases.

References

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Citations

Jul 1, 2015·International Journal of Surgery·Marco CannistràBruno Nardo
Feb 22, 2013·Expert Opinion on Therapeutic Targets·Kathleen M HertzerO Joe Hines
Nov 24, 2017·Medicines·Francesco PetrellaLorenzo Spaggiari
Feb 19, 2010·Journal of Gastrointestinal Cancer·Jose Luis Ulla-RochaEnrique Vazquez-Astray
Nov 17, 2019·International Journal of Molecular Sciences·Sangeetha HareendranY Peng Loh
Feb 26, 2019·Technology in Cancer Research & Treatment·Ran WeiJianqing Zhu
Feb 11, 2016·Future Oncology·Jennifer B PermuthUNKNOWN Florida Pancreas Collaborative
Sep 13, 2020·Cancer Epidemiology, Biomarkers & Prevention : a Publication of the American Association for Cancer Research, Cosponsored by the American Society of Preventive Oncology·Robert J Gillies, Matthew B Schabath

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