Advances in the Surgical Management of Resectable and Borderline Resectable Pancreas Cancer

作者：Helmink Beth A; Snyder Rebecca A; Idrees Kamran; Merchant Nipun B; Parikh Alexander A

来源：Surgical Oncology Clinics of North America, 2016, 25(2): 287-+.

DOI：10.1016/j.soc.2015.11.008

• Resectability
• Borderline resectable
• Vascular resection
• Aberrant vascular anatomy
• Lymphadenectomy
• Pancreatic fistula
• Delayed gastric emptying
• Palliation

Successful surgical resection offers the only chance for cure in patients with pancreatic cancer; however, pancreatic resection is feasible in less than 20% of the patients. In this review, the current state of surgical management of pancreatic cancer is discussed. The definition of resectability based on cross-sectional imaging and the technical aspects of surgery, including vascular resection and/or reconstruction, management of aberrant vascular anatomy and extent of lymphadenectomy, are appraised. Furthermore, common pancreatic resection-specific postoperative complications and their management are reviewed.

• 出版日期2016-4