Confusion and thoughts on the surgical treatment of pancreatic cancer
10.3760/cma.j.issn.1673-9752.2013.02.003
- VernacularTitle:胰腺癌外科治疗的困惑与思考
- Author:
Yi MIAO
- Publication Type:Journal Article
- Keywords:
Pancreatic neoplasms;
Surgery;
Therapy
- From:
Chinese Journal of Digestive Surgery
2013;(2):100-104
- CountryChina
- Language:Chinese
-
Abstract:
Pancreatic surgery has achieved substantial improvement in recent years,which was indicated by the continuous decrease of its mortality and morbidity.However,the over-all 5-year survival rate of pancreatic cancer patients has not been significantly improved,and puzzles together with controversies remain in the field of surgical treatment for this devastating disease.Clinical outcomes of pancreatic cancer patients remain poor,which we thought would largely explained by the extremely malignant biological behavior of pancreatic cancer.In this review,we also focused on the frequently discussed themes in the field of surgical treatment for pancreatic cancer.These themes include differential diagnosis for pancreatic head mass,preoperative biliary drainage for jaundice patients,value of R0/R1 resection for pancreatic cancer,pancreatic fistula and delayed gastric emptying after pancreaticoduodenectomy.