Actualité de la chirurgie du cancer du pancréas

Article De Synthèse / Review Article

Résumé

Depuis que la technique de duodénopancréatectomie céphalique (DPC) a été décrite par Whipple et al. en 1935, le traitement chirurgical du cancer du pancréas a fait des progrès indiscutables en matière de qualité de résection. L’exérèse de la marge rétropéritonéale (MRP) avec abord premier de l’artère mésentérique supérieure (AMS) permet une chirurgie pancréatique complète et donne une idée plus claire sur le pronostic. L’impact de cette technique sur la survie reste à évaluer.

Mots clés

Duodénopancréatectomie céphalique Artère mésentérique supérieur Marge rétropéritonéale Veine rénale Veine cave 

News in surgery for cancer of the pancreas

Abstract

Since Whipple et al. described the technique of cephalic duodenopancreatectomie in 1935; the surgical treatment of pancreatic cancer has made gains in quality of resection. The excision of the retroperitoneal margin with first approach of the superior mesenteric artery allows complete pancreatic surgery and gives a clearer idea about the prognosis, the impact of this technique on survival remains to be assessed.

Keywords

Cephalic duodenopancreatectomie Superior mesenteric artery Retroperitoneal margin Renal vein Vena cava 

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Copyright information

© Springer Verlag France 2009

Authors and Affiliations

  1. 1.Service de chirurgie « J »Institut national d’oncologieRabatMaroc

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