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Surgical Techniques for Resectable Pancreatic Cancer

  • Marcus Bahra
  • Ulf Neumann
Part of the Recent Results in Cancer Research book series (RECENTCANCER, volume 177)

Abstract

Pancreatic cancer is a highly aggressive cancer with a rising incidence in most European countries. Due to both the aggressive biology of the disease and the late diagnosis in many cases, pancreatic duct carcinoma is still a disease with a poor prognosis. Today, surgical resection of localized tumor remains the only potentially curative option available for these patients. Advances in surgical techniques and perioperative care has improved significantly in the last 20 years, causing an extension of indications for surgical intervention. However, despite new diagnostic techniques, the surgical exploration still plays the key role for the finally assessment of resectability. For evaluation of local resectability, laparoscopy alone cannot generally be recommended today and explorative laparotomy is required. Contraindications for pancreatic resection are liver metastasis, peritoneal metastasis, and tumor infiltration of visceral arteries.

Keywords

Pancreatic Cancer Total Pancreatectomy Jejunal Loop Preoperative Biliary Drainage Visceral Artery 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer-Verlag Berlin Heidelberg 2008

Authors and Affiliations

  • Marcus Bahra
    • 1
  • Ulf Neumann
    • 1
  1. 1.Klinik für Allgemein-, Visceral- und TransplantationschirurgieCharité – Universitätsmedizin Berlin, Campus Virchow-KlinikumBerlinGermany

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