The evidence for technical considerations in pancreatic resections for malignancy

The surgeon who wishes to perform successful resections for malignant processes involving the pancreas has to be conversant with a broad range of topics. There are extensive collections of data that usually give excellent guidance, but sometimes also provide conflicting advice. No matter what the data suggest might work best, the surgeon and local collaborators must be able to deliver the quality care cited in some of these reports; usually it is the best results that are published. There is a difference between results that are statistically significant, clinically significant, and important to the patient, and these concepts should never be confused.