Surgical techniques for pancreatic cancer

Attila Nakeeb, K. D. Lillemoe, J. L. Grosfeld

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

Surgical resection of pancreatic adenocarcinoma offers the only chance for long-term cure. Over the past 2 decades significant advances have been made in both the surgical techniques and the perioperative care of patients with pancreatic cancer. The operative management of pancreatic cancer involving the head, neck, and uncinate process consists of 2 phases: first, assessing tumor resectability and then, if the tumor is resectable, completing a pancreaticoduodenectomy and restoring gastrointestinal continuity. In this article, we describe our current techniques for resection of pancreatic cancer, review operative palliation for unresectable cancer, and discuss several controversies in the operative management of pancreatic cancer including: 1) the role of extended lymphadenectomy, 2) pylorous preservation and 3) pancreaticojejunostomy versus pancreaticogastrostomy for pancreatic duct reconstruction.

Original languageEnglish
Pages (from-to)151-163
Number of pages13
JournalMinerva Chirurgica
Volume59
Issue number2
StatePublished - Apr 2004

Fingerprint

Pancreatic Neoplasms
Pancreaticojejunostomy
Perioperative Care
Neoplasms
Pancreaticoduodenectomy
Pancreatic Ducts
Head and Neck Neoplasms
Lymph Node Excision
Adenocarcinoma

Keywords

  • Abdomen, surgery
  • Pancreas neoplasms, surgery
  • Pancreaticojejunostomy

ASJC Scopus subject areas

  • Surgery

Cite this

Nakeeb, A., Lillemoe, K. D., & Grosfeld, J. L. (2004). Surgical techniques for pancreatic cancer. Minerva Chirurgica, 59(2), 151-163.

Surgical techniques for pancreatic cancer. / Nakeeb, Attila; Lillemoe, K. D.; Grosfeld, J. L.

In: Minerva Chirurgica, Vol. 59, No. 2, 04.2004, p. 151-163.

Research output: Contribution to journalArticle

Nakeeb, A, Lillemoe, KD & Grosfeld, JL 2004, 'Surgical techniques for pancreatic cancer', Minerva Chirurgica, vol. 59, no. 2, pp. 151-163.
Nakeeb A, Lillemoe KD, Grosfeld JL. Surgical techniques for pancreatic cancer. Minerva Chirurgica. 2004 Apr;59(2):151-163.
Nakeeb, Attila ; Lillemoe, K. D. ; Grosfeld, J. L. / Surgical techniques for pancreatic cancer. In: Minerva Chirurgica. 2004 ; Vol. 59, No. 2. pp. 151-163.
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