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Surgical approaches for resection of pancreatic cancer: an overview
Sheng-Li Liu1, Helmut Friess, Jörg Kleeff
1Department of General Surgery, Affiliated Zhong-Da Hospital and Medical Clinical College, Southeast University, Nanjing 210009, China. liusl@ho tmail.com
Objective:
To overview the different surgical approaches for the resection of pancreatic cancer and our experience with these techniques.
Methods:
Surgical procedures including the Whipple resection, Pylorus-preserving resection, total and subtotal panreatectomies, regional pancreatectomy and the extended lymph node resection were discussed.
Results:
Studies have shown that no operation seems to produce significantly improved results in terms of survival, mortality and resection rates compared to the standard Whipple resection and pylorus-preserving duodenopancreatectomy.
Conclusion:
Despite the progress in the surgical treatment of pancreatic cancer, the overall prognosis after resection remains unsatisfied. Surgery is likely to be optional for the treatment of pancreatic cancer.
