Surgical management of pancreatic cancer--distal pancreatectomy

Seminars in Oncology
Purvi Y Parikh, Keith D Lillemoe

Abstract

Distal pancreatectomy is the standard procedure for tumors located in the body and tail of the pancreas. In the last three decades, significant progress has been made with regard to technical aspects as well as perioperative care so that excellent mortality and morbidity rates can be achieved. Recently, there is growing evidence that distal pancreatectomy may be performed laparoscopically in selected patients, offering the advantages of minimally invasive surgery. Unfortunately, the oncologic outcomes for pancreatic adenocarcinoma remain poor, in part due to the late stage of presentation in most patients. We review the history of distal pancreatectomy, discuss current indications for performing this procedure, compare operative techniques in performing distal pancreatectomy, and review both the early complications seen in patients who have undergone a distal pancreatectomy and the long-term metabolic and oncologic outcomes of these patients.

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Citations

Sep 14, 2015·Surgical Oncology Clinics of North America·Ashton A Connor, Steven Gallinger
Mar 2, 2017·Korean Journal of Radiology : Official Journal of the Korean Radiological Society·Ji Won SeoYong Eun Chung
Aug 11, 2017·Cell & Bioscience·Wei ShenZhi-Qiang Tian
May 28, 2020·Annals of Hepato-biliary-pancreatic Surgery·Muhammad Umair BashirMichael J Jacobs
Sep 10, 2020·Langenbeck's Archives of Surgery·Suna ErdemMathias Worni
Jun 21, 2018·Frontiers in Physiology·Xiaodong LiXiaocong Wang
Aug 25, 2020·Gastroenterology Research and Practice·Gongpan LiuJiangong Li
Nov 14, 2019·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Marvi TariqJuan M Sarmiento
Aug 28, 2021·Cancers·Fabio SabbadiniDavide Melisi

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