Advances in the Surgical Management of Resectable and Borderline Resectable Pancreas Cancer

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

Research output: Contribution to journalReview articlepeer-review

7 Scopus citations

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)
Pages (from-to)287-310
Number of pages24
JournalSurgical oncology clinics of North America
Volume25
Issue number2
DOIs
StatePublished - Apr 1 2016

Keywords

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

ASJC Scopus subject areas

  • Surgery
  • Oncology

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