Pancreatic cancer surgical management.

Florence Jeune, Romain Coriat, Frédéric Prat, Bertrand Dousset, Jean-Christophe Vaillant, Sébastien Gaujoux

Journal: Presse medicale (Paris, France : 1983) 2019;48(3 Pt 2):e147-e158

PMID: 30905395

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Abstract

Pancreatic ductal adenocarcinoma (PDAC) remains a dismal prognosis and surgery is the only chance for cure. However, only few of the patients have localized tumor eligible for curative complete resection. Preoperative management and well-staging of the disease are the cornerstone for appropriate surgery and major issues to define the best therapeutic strategy. This review focuses on the surgical and optimal perioperative management of PDAC and summarizes updates data on the subject.

Address: AP-HP, Pierre-and-Marie-Curie university, Paris VI, Pitié-Salpêtrière hospital, department of hepatobiliary surgery, pancreatic surgery and liver transplantation, 75651 Paris cedex, France. Electronic address: [email protected].; AP-HP, Paris V, Paris Descartes faculty of medecine, Cochin hopsital, department of gastroenterology and oncology, 75014 Paris, France.; AP-HP, Paris V, Paris Descartes faculty of medicine, Cochin hospital, department of digestive, hepatobiliary and pancreatic surgery, 75014 Paris, France.; AP-HP, Pierre-and-Marie-Curie university, Paris VI, Pitié-Salpêtrière hospital, department of hepatobiliary surgery, pancreatic surgery and liver transplantation, 75651 Paris cedex, France.

DOI: 10.1016/j.lpm.2019.02.027

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MeSH Terms: Anastomosis, Surgical, CA-19-9 Antigen, Carcinoma, Pancreatic Ductal, Clinical Decision-Making, Diagnostic Imaging, Drainage, Humans, Laparoscopy, Lymph Node Excision, Malnutrition, Mesenteric Veins, Neoplasm Staging, Nutritional Support, Pancreatectomy, Pancreatic Neoplasms, Pancreaticoduodenectomy, Portal Vein, Postoperative Care, Preoperative Care