Total pancreatectomy for pancreatic cancer: indications and operative technique

AUTOR(ES)

Kulu, Yakup

FONTE

Blackwell Publishing Ltd

RESUMO

Total pancreatectomy (TP) was abandoned by many surgeons because of its lack of benefits and other major drawbacks. The potential benefits of TP, including its oncological as well as its technical advantages, did not prove to be valid. Problems associated with insulin-deprived diabetes mellitus and high perioperative morbidity and mortality rates were not easily manageable. However, in the new era of pancreatic surgery, new indications for TP have been defined. These have been paralleled by improvements in surgical technique, multidisciplinary management and postoperative intensive care. These factors have transformed TP into a safe and reasonable surgical procedure with excellent perioperative morbidity and mortality, as well as good longterm outcome. We review the indications for TP and describe our operative technique in detail.

Documentos Relacionados

• Preoperative indications for extended pancreatectomy for locally advanced pancreas cancer involving the portal vein.
• Tumor size is the primary prognosticator for pancreatic cancer after regional pancreatectomy.
• Practical Atlas of the Surgery of Strabismus. Operative Indications, Surgical Technique
• Cigarette Smoking and Pancreatic Cancer: A Pooled Analysis From the Pancreatic Cancer Cohort Consortium
• High dose rate endobronchial brachytherapy for the treatment of lung cancer: current status and indications.