Skip to main content

Why Resect Pancreatic Cancer?

  • Chapter
Pancreatic Disease

Abstract

Adenocarcinoma of the pancreas is the third commonest gastrointestinal cancer, after colorectal and gastric adenocarcinoma. In the UK its incidence is steady, whereas that of gastric cancer is falling (Ashton-Key et al. 1991). However, in contrast to gastric and colorectal adenocarcinoma, pancreatic tumours are rarely resectable, and when resected the disease is rarely cured. What then is the justification for resection at all?

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 74.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  • Andren-Sandberg A, Ihse I (1983) Factors influencing survival after total pancreatectomy in patients with pancreatic cancer. Ann Surg 198: 605–610

    Article  PubMed  CAS  Google Scholar 

  • Ashton-Key M, Hammersley S, Johnson CD (1991) Relative incidence of gastric and pancreatic cancer in England and Wales. Gut 32: A580–A581

    Google Scholar 

  • Braasch JW, Rossi RL, Watkins E et al. (1986) Pyloric and gastric preserving pancreatic resection. Ann Surg 204: 411–418

    Article  PubMed  CAS  Google Scholar 

  • Bradbeer J, Johnson CD (1990) Pancreaticogastrostomy after pancreaticoduodenectomy. Ann R Coll Surg Engl 72: 266–269

    PubMed  CAS  Google Scholar 

  • Chandiramini VA, Theis BA, Rüssel RCG (1990) Role of resection in the management of pancreatic cancers. Gut 31: A488

    Google Scholar 

  • Cooper MJ, Williamson RCN (1985) Conservative pancreatectomy. Br J Surg 72: 801–803

    Article  PubMed  CAS  Google Scholar 

  • Cooper MJ, Williamson RCN, Benjamin IS et al. (1987) Total pancreatectomy for chronic pancreatitis. Br J Surg 74: 912–915

    Article  PubMed  CAS  Google Scholar 

  • Crist DW, Sitzmann JV, Cameron JL (1987) Improved hospital morbidity, mortality and survival after the Whipple procedure. Ann Surg 206: 358–373

    Article  PubMed  CAS  Google Scholar 

  • Dunn E (1987) The impact of technology and improved perioperative management upon survival from carcinoma of the pancreas. Surg Gynecol Obstet 164: 237–244

    PubMed  CAS  Google Scholar 

  • Edis AJ, Kieman PD, Taylor WF (1980) Attempted resection of ductal carcinoma of the pancreas. Review of Mayo Clinic Experience 1951–75. Mayo Clin Proc 55: 531–536

    PubMed  CAS  Google Scholar 

  • Gall FP (1987) Chronische pancreatitis: Chirugische therapie durch resections verfahren. Langenbecks Arch Chir 372: 363–368

    Article  PubMed  CAS  Google Scholar 

  • Gastrointestinal Tumour Study Group (1987) Further evidence of effective adjuvant combined radiation and chemotherapy following curative resection of pancreatic cancer. Cancer 59: 2006–2010

    Article  Google Scholar 

  • Grace PA, Pitt HA, Longmire WP (1986) Pancreatoduodenectomy with pylorus preservation for adenocarcinoma of the head of the pancreas. Br J Surg 73: 647–650

    Article  PubMed  CAS  Google Scholar 

  • Gudjunsson B, Livstone E, Spiro H (1978) Pancreatic cancer: diagnostic accuracy and survival statistics. Cancer 42: 2454–2506

    Google Scholar 

  • Ishikawa O, Ohigashi H, Sasaki Y et al. (1988) Practical usefulness of lymphatic and connective tissue clearance for carcinoma of the pancreas head. Ann Surg 208: 215–219

    Article  PubMed  CAS  Google Scholar 

  • Jones BA, Langer B, Taylor BR, Girotti M (1985) Periampullary tumours. Which ones should be resected? Am J Surg 149: 46–52

    Article  PubMed  CAS  Google Scholar 

  • Kairaluoma MI, Kiviniemi H, Stahlberg M (1987) Pancreatic resection for carcinoma of the pancreas and periampullary region in patients over 70 years of age. Br J Surg 74: 116–118

    Article  PubMed  CAS  Google Scholar 

  • Lygidakis NJ, van der Hyde MN, Houthoff HJ et al. (1989) Resectional surgical procedures for carcinoma of the head of the pancreas. Surg Gynecol Obstet 168: 157–165

    PubMed  CAS  Google Scholar 

  • Moosa AR (1982) Pancreatic cancer. Approach to diagnosis, selection for surgery and choice of operation. Cancer 50: 2689–2698

    Google Scholar 

  • Pellegrini CA, Heck CF, Roper et al. (1989) An analysis of the reduced morbidity and mortality rates after pancreaticoduodenectomy. Arch Surg 124: 778–781

    Article  PubMed  CAS  Google Scholar 

  • Sato T, Saitch Y, Noto N, Matsuno S (1977) Followup studies of radical resection for pancreaticoduodenal cancer. Ann Surg 186: 581–588

    Article  PubMed  CAS  Google Scholar 

  • Tashiro S, Mirata E, Hiraoka T et al. (1987) New techniques for pancreaticojejunostomy using a biological adhesive. Br J Surg 74: 392–394

    Article  PubMed  CAS  Google Scholar 

  • Trede M (1987) Treatment of pancreatic carcinoma: the surgeon’s dilemma. Br J Surg 74: 79–80

    Article  PubMed  CAS  Google Scholar 

  • Trede M, Schwall G, Saeger HD (1990) Survival after pancreatoduodenectomy: 118 consecutive resections without operative mortality. Ann Surg 211: 447–458

    Article  PubMed  CAS  Google Scholar 

  • Tsuchiya R, Noda T, Harada N et al. (1986) Collective review of small carcinomas of the pancreas. Ann Surg 203: 77–81

    Article  PubMed  CAS  Google Scholar 

  • Van Heerden J A (1984) Pancreatic resection for carcinoma of the pancreas: Whipple versus total pancreatectomy — an institutional persective. World J Surg 8: 880–888

    Article  PubMed  Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1991 Springer-Verlag London Limited

About this chapter

Cite this chapter

Johnson, C.D. (1991). Why Resect Pancreatic Cancer?. In: Johnson, C.D., Imrie, C.W. (eds) Pancreatic Disease. Springer, London. https://doi.org/10.1007/978-1-4471-3356-8_8

Download citation

  • DOI: https://doi.org/10.1007/978-1-4471-3356-8_8

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-3358-2

  • Online ISBN: 978-1-4471-3356-8

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics