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| Surgical approaches for resection of pancreatic cancer: an overview |
| Sheng-Li Liu, Helmut Friess, Jorg Kleeff, Zheng-Ling Ji and Markus W Büchler |
From the Department of General Surgery, Affiliated Zhong-Da Hospital and Medical Clinical College, Southeast University, Nanjing 210009, China (Liu SL and JI ZL); and the Department of Visceral and Transplantation Surgery, University of Bern. Switzerland (Friess H, Kleeff J and Büchler MW)
Correspondence: Sheng-Li Liu, MD (Tel: 86-025-3272196; Email: liusl@ho tmail.com) |
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Abstract Objective: To overview the different surgical approaches for the resection of pancreatic cancer and our experience with these techniques.
Methods: Surgical procedures including the Whipple resection, Pylorus-preserving resection, total and subtotal panreatectomies, regional pancreatectomy and the extended lymph node resection were discussed.
Results: Studies have shown that no operation seems to produce significantly improved results in terms of survival, mortality and resection rates compared to the standard Whipple resection and pylorus-preserving duodenopancreatectomy.
Conclusion: Despite the progress in the surgical treatment of pancreatic cancer, the overall prognosis after resection remains unsatisfied. Surgery is likely to be optional for the treatment of pancreatic cancer.
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2002, Vol. 1 
