Pancreatic head cancer - Current surgery techniques.

Autor: Olakowski M; Department of Gastrointestinal Surgery, Medical University of Silesia, Medyków 14, 40-752, Katowice, Poland., Grudzińska E; Department of Gastrointestinal Surgery, Medical University of Silesia, Medyków 14, 40-752, Katowice, Poland. Electronic address: ewa.grudzinska@sum.edu.pl.
Jazyk: angličtina
Zdroj: Asian journal of surgery [Asian J Surg] 2023 Jan; Vol. 46 (1), pp. 73-81. Date of Electronic Publication: 2022 Jun 06.
DOI: 10.1016/j.asjsur.2022.05.117
Abstrakt: Pancreatic head cancer is a highly fatal disease. For now, surgery offers the only potential long-term cure albeit with a high risk of complications. However, the progress of surgical technique during the past decade has resulted in 5-year survival approaching 30% after resection and adjuvant chemotherapy. This paper presents current data on the recommended extent of lymphadenectomy, the resection margin, on the definition of resectable and borderline resectable tumors and mesopancreas. Surgical techniques proposed to improve PD are presented: the artery first approach, the uncinate process first, the mesopancreas first approach, the triangle operation, periarterial divestment, and multiorgan resection.
Competing Interests: Declaration of competing interest The Authors declare that there is no conflict of interest.
(Copyright © 2022 Asian Surgical Association and Taiwan Robotic Surgery Association. Published by Elsevier B.V. All rights reserved.)
Databáze: MEDLINE