Advances in the Surgical Management of Resectable and Borderline Resectable Pancreas Cancer. Procedures, Techniques, Staging Laparoscopy, Controversies, Complications

Beth A. Helmink, Rebecca A. Snyder, Kamran Idrees, Nipun Merchant, Alexander A. Parikh

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Successful surgical resection offers the only chance for cure in patients with pancreatic cancer. However, pancreatic resection is feasible in less than 20% of the patients. In this review, the current state of surgical management of pancreatic cancer is discussed. The definition of resectability based on cross-sectional imaging and the technical aspects of surgery, including vascular resection and/or reconstruction, management of aberrant vascular anatomy and extent of lymphadenectomy, are appraised. Furthermore, common pancreatic resection-specific postoperative complications and their management are reviewed.

Original languageEnglish (US)
JournalSurgical Oncology Clinics of North America
DOIs
StateAccepted/In press - 2016

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Pancreatic Neoplasms
Laparoscopy
Blood Vessels
Lymph Node Excision
Anatomy

Keywords

  • Aberrant vascular anatomy
  • Borderline resectable
  • Delayed gastric emptying
  • Lymphadenectomy
  • Palliation
  • Pancreatic fistula
  • Resectability
  • Vascular resection

ASJC Scopus subject areas

  • Oncology
  • Surgery

Cite this

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abstract = "Successful surgical resection offers the only chance for cure in patients with pancreatic cancer. However, pancreatic resection is feasible in less than 20{\%} of the patients. In this review, the current state of surgical management of pancreatic cancer is discussed. The definition of resectability based on cross-sectional imaging and the technical aspects of surgery, including vascular resection and/or reconstruction, management of aberrant vascular anatomy and extent of lymphadenectomy, are appraised. Furthermore, common pancreatic resection-specific postoperative complications and their management are reviewed.",
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AU - Helmink, Beth A.

AU - Snyder, Rebecca A.

AU - Idrees, Kamran

AU - Merchant, Nipun

AU - Parikh, Alexander A.

PY - 2016

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KW - Delayed gastric emptying

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KW - Palliation

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KW - Resectability

KW - Vascular resection

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