Table of Contents  

Surgical management of pancreatic cancer

Asma Sultana, Andrew Sutherland, Rowan W Parks
Published in : HAMDAN MEDICAL JOURNAL ; Vol 8, No 2 (2015)
DOI : 10.7707/hmj.439


Pancreatic cancer is one of the top 10 cancers in terms of incidence, and continues to be associated with poor 5-year survival. Surgery for localized disease provides the best treatment option with potential for cure. This article discusses pre-operative management, and the evidence for and against biliary drainage prior to surgery, indications for the different types of pancreatic resections and variations in surgery based on evolution of techniques over time, including the extent of lymphadenectomy. The diverse options for reconstruction and their merits are highlighted and the evidence for and against post-operative drainage is presented. Aspects of perioperative management are discussed, with emphasis on complications specific to pancreatic surgery, the role for enhanced recovery and use of somatostatin analogues. The evidence for centralization is outlined, and measures to improve outcomes following these complex resections are detailed.


View article in  :   PDF     HTML    

Add comment 

Home  Editorial Board  Search  Current Issue  Archive Issues  Announcements  Aims & Scope  About the Journal  How to Submit  Contact Us
Find out how to become a part of the HMJ  |   CLICK HERE >>
© Copyright 2012 - 2013 HMJ - HAMDAN Medical Journal. All Rights Reserved         Website Developed By Cedar Solutions INDIA