| Theme |
Pancreatic Cancer : Up-to-date |
| Title |
Surgical Criteria and Techniques for Pancreatic Cancer Treatment |
| Author |
Mitsuhiro Hishida |
Department of Surgery II (Gastroenterological Surgery), Nagoya University Graduate School of Medicine |
| Author |
Tsutomu Fujii |
Department of Surgery II (Gastroenterological Surgery), Nagoya University Graduate School of Medicine |
| Author |
Akimasa Nakao |
Department of Surgery II (Gastroenterological Surgery), Nagoya University Graduate School of Medicine |
| [ Summary ] |
Pancreatic cancer has the worst prognosis of all gastrointestinal neoplasms. Only surgical resection offers a possibility of cure. Aggressive resection is indicated if surgically cancer-negative margins are possible. Carcinoma invasion of the portal vein system is common in pancreatic cancer. Survival rates for patients who undergo portal vein resection are much higher than those which are unresectable. We have performed pancreatoduodenectomies with portal vein resection using catheter-bypass and non-touch isolation techniques. These techniques contribute to the safety of our operative procedures. Recently, the combination of surgery and chemotherapy has improved the prognoses for these patients. It is important to start adjuvant chemotherapy as soon as possible after pancreatic cancer resection. |