[Problems and technical procedures of total pancreatectomy for adenocarcinoma. Consequences of lymphadenectomy...

In cancer recognized less than one month after first signs, frequently by pancreatography via fiberoptic endoscopy, in a young patient patient with no other major disease, total pancreatectomy with systematic lymphadenectomy must be proposed. Total splenopancreatoduodenectomy carried out from left to right provides the longest delay for the final section stages. Simultaneous study of lymph nodes enables one to estimate the survival to approximately two years in case of involvement and hopefully five, if they are intact.