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Present Treatment Strategies

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Exocrine Pancreatic Cancer

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Abstract

The poor quality of therapeutic results in pancreatic cancer incites us to bring together along with an earlier diagnosis all our knowledge and means in order to determine the best treatment strategies available today. Since a long time, surgery had proven its superiority, to such an extent that it was essentially the only therapy being used at the expense of the other techniques, initially radiation therapy and later on chemotherapy.

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References

  1. American Society of Clinical Oncology (1985) Educational symposium and educational workshop, May 19, p 13.

    Google Scholar 

  2. Beazley RM (1981) Needle biopsy diagnosis of pancreatic cancer. Cancer 47(6): 1685–1687.

    Article  PubMed  CAS  Google Scholar 

  3. Belghiti J (1983) Le drainage biliaire pré-opératoire est-il utile? Gastroenterol Clin Biol 7: 732–734.

    PubMed  CAS  Google Scholar 

  4. Belghiti J, Menu Y, Nahum H, Fekete F (1984) Apport de l’échotomographie per-opératoire dans la Chirurgie des tumeurs du foie. Presse Med 13 (30): 1839–1841.

    PubMed  CAS  Google Scholar 

  5. Bismuth H, Castaing D, Kunstlinger F (1984) L’échographie per-opératoire en Chirurgie hépato-biliaire. Presse Med 13 (30): 1819–1822.

    PubMed  CAS  Google Scholar 

  6. Boutelier P, Callard P, Champeault G (1984) La cytoponction per-opératoire dans les tumeurs solides du pancréas. In: Chirurgie abdominale et digestive 2. Masson, Paris, p 84 (Actualités Chirurgieales).

    Google Scholar 

  7. Braasch JW, Gray BN (1977) Considerations that lower pancreatoduodenectomy mortality. Am J Surg 133: 480–485.

    Article  PubMed  CAS  Google Scholar 

  8. Brooks DL, Osteen RT, Gray EB, et al (1981) Evaluation of palliative procedures for pancreatic cancer. Am J Surg 141: 430–433.

    Article  PubMed  CAS  Google Scholar 

  9. Brooks JR, Culebras JM (1976) Cancer of the pancreas: palliative operation, Whipple procedure or total pancreatectomy? Am J Surg 131: 516–520.

    Article  PubMed  CAS  Google Scholar 

  10. Brunschwig A (1954) cited by Patel J, Patel JC, Leger L (1969) Nouveau traité de technique chir-urgicale, vol 12/2. Masson, Paris, p 511.

    Google Scholar 

  11. Chapuis Y, Place S, Bonnette P (1983) Influence de la rétention biliaire sur la mortalité opératoire dans les cancers ictérigènes du pancréas: étude rétrospective de 111 cas. Med Chir Dig 12(5): 327–331.

    Google Scholar 

  12. Child CG, Frey CF (1966) Pancreatico-duodenectomy. Surg Clin North Am 46: 1201.

    PubMed  Google Scholar 

  13. Christoffersen P, Poll P (1970) Per-operative pancreas aspiration biopsies. Acta Pathol Microbiol Scand [Suppl] 212: 28.

    Google Scholar 

  14. Couinaud C (1967) Les pancréatectomies avec curage ganglionnaire. J Chir (Paris) 93: 397–410.

    CAS  Google Scholar 

  15. Collins JJ, Craighead JE, Brooks JR (1966) Rationale for total pancreatectomy for carcinoma of the pancreatic head. N Engl J Med 274(11): 599–602.

    Article  PubMed  Google Scholar 

  16. Cremer M, Adler M, Dunham F, et al (1982) Intubation non opératoire des sténoses néoplasiques des voies biliaires. In: Actualités digestives médico-chirurgicales, 3e series. Masson, Paris, pp 103–111.

    Google Scholar 

  17. Denning DA, Ellison EC, Carey LC (1981) Pre-operative percutaneous transhepatic biliary decompression lowers operative morbidity in patients with obstructive jaundice. Am J Surg 141: 61–65.

    Article  PubMed  CAS  Google Scholar 

  18. Doutre LP, Perissat J, Bobois JP, Grenet J (1975) La survie post-opératoire des cancers ictérigènes du pancréas. Chirurgie 101 (11): 836–843.

    PubMed  CAS  Google Scholar 

  19. Ferrucci JT, Mueller PR, Harbin WP (1980) Percutaneous transhepatic biliary drainage: technique results and application. Radiology 135: 1–13.

    PubMed  Google Scholar 

  20. Fortner JG, Kim DK, Cubilla A (1977) Regional pancreatectomy: in bloc pancreatic, portal vein and lymph nodes resection. Ann Surg 186(1): 42–50.

    Article  PubMed  CAS  Google Scholar 

  21. Forsgren L, Orel S (1973) Aspiration cytology in carcinoma of the pancreas. Surgery 73: 38.

    PubMed  CAS  Google Scholar 

  22. Fourtanier G (1984) L’ictère est-il un facteur de gravité? In: Chirurgie abdominale et digestive 2. Masson, Paris, p 3 (Actualités chirurgicales).

    Google Scholar 

  23. Gilsdorf RB, Spanos P (1973) Factors influencing morbidity and mortality in pancreatico-duo-denectomy. Ann Surg 177(3): 332–337.

    Article  PubMed  CAS  Google Scholar 

  24. Grosdidier J (1980) Exérèse contre dérivation dans les cancers ictérigènes du pancreas. In: Chirurgie abdominale et digestive 2. Masson, Paris, p 61 (Actualités chirurgicales).

    Google Scholar 

  25. Hatfield ARW, Tobjas R, Terblanche J, et al (1982) Pre-operative external biliary drainage in obstruction jaundice. A prospective controlled clinical tiral. Lancet 2: 896.

    Article  PubMed  CAS  Google Scholar 

  26. Hermann RE (1979) Manual of surgery of the gallbladder, bile ducts and exocrine pancreas. Springer, Berlin Heidelberg New York.

    Book  Google Scholar 

  27. Hoffman (cited in [51]).

    Google Scholar 

  28. Hollender LF, Meyer C, Marrie A, Pierard T, Calderoli H (1980) Le cancer du pancreas. Reflexions à propos de 147 cas. Ann Chir 34: 775–777.

    PubMed  CAS  Google Scholar 

  29. Huguet C, Tussiot J, Parc R, Loygue J (1981) Faut-il décomprimer les voies biliaires avant d’opérer les ictères par obstruction? Gastroenterol Clin Biol 5(1): 219 A.

    Google Scholar 

  30. Huguet C, Hakami R, Bloch P (1981) L’intubation transtumorale des obstructions néoplasiques du hile du foie. Ann Chir 35: 341.

    PubMed  CAS  Google Scholar 

  31. Issacson R, Weiland LH, McIllrath DC (1974) Biopsy of the pancreas. Arch Surg 109: 227–230.

    Google Scholar 

  32. Launois B (1984) La Chirurgie du pancréas pour cancer. Bordeaux Med 17: 115–118.

    Google Scholar 

  33. Lightwood R, Reber HA, Way LW (1976) The risk and accuracy of pancreatic biopsy. Am J Surg 132: 189–194.

    Article  PubMed  CAS  Google Scholar 

  34. Longmire WP, Traverso LW (1981) The Whipple procedure and other standard operative approaches to pancreatic cancer. Cancer 47(6): 1706–1711.

    Article  PubMed  Google Scholar 

  35. Malt RA (1983) Treatment of pancreatic cancer. JAMA 250(11): 1433–1437.

    Article  PubMed  CAS  Google Scholar 

  36. Mercadier M, Clot JP, Melliere D, Camplez P (1967) Technique des duodéno-pancréatectomies céphaliques. Ann Chir 21: 11–12, 672–680.

    Google Scholar 

  37. Monge JJ, Judd ES, Gage RP (1964) Radical pancreatectomy. A 22-year experience with the complications, mortality rate and survival rate. Ann Surg 160(4): 711–719.

    Article  PubMed  CAS  Google Scholar 

  38. Moertel CG, Childs DS, Reitemeier RJ, et al (1969) Combined 5-fluoro-uracil and supervoltage radiation therapy of locally unresectable gastro-intestinal cancer. Lancet 2: 865–867.

    Article  PubMed  CAS  Google Scholar 

  39. Moossa AR (1982) Pancreatic cancer. Approach to diagnosis, selection for surgery and choice of operation. Cancer 50 (11): 2689–2698.

    PubMed  CAS  Google Scholar 

  40. Moossa AR, Lewis MH, Mackie CR (1979) Surgical treatment of pancreatic cancer. Mayo Clin Proc 54: 468–474.

    PubMed  CAS  Google Scholar 

  41. Mouiel J (1983) Derivation ou exérèse dans le cancer pancréatique. Med Chir Dig 12: 475–478.

    Google Scholar 

  42. Mueller PR, van Sonnenberg E, Ferrucci JT (1982) Percutaneous biliary drainage: technical and catheter related problems in 200 procedures. AJR 138: 17–23.

    PubMed  CAS  Google Scholar 

  43. Nakayama T, Ikeda A, Okuda K (1978) Percutaneous transhepatic drainage of the biliary tract. Technique and results in 104 cases. Gastroenterology 74: 554–559.

    PubMed  CAS  Google Scholar 

  44. Norlander A, Kalin B, Sundblad R (1982) Effect of percutaneous transhepatic drainage upon liver function and postoperative mortality. Surg Gynecol Obstet 155: 161.

    PubMed  CAS  Google Scholar 

  45. Orr TG (1952) cited by Leger et Brehant J (1956) Chirurgie du pancreas. Masson, Paris, p 411.

    Google Scholar 

  46. Pollock TW, Ring ER, Oleaga JA, et al (1979) Percutaneous decompression of benign and malignant biliary obstruction. Arch Surg 114: 148–151.

    PubMed  CAS  Google Scholar 

  47. Remine WH, Priestly JT, Judde S, King JN (1970) Total pancreatectomy. Ann Surg 172: 595–604.

    Article  PubMed  CAS  Google Scholar 

  48. Reuben A, Cotton PB (1978) Operative pancreatic biopsy: a survey of current practice. Ann R Coll Surg Engl 60: 53–57.

    PubMed  CAS  Google Scholar 

  49. Ross DE (1954) Cancer of the pancreas. A plea for total pancreatectomy. Am J Surg 87: 20–33.

    Article  PubMed  CAS  Google Scholar 

  50. Solassol C, Joyeux H, Yakoun M, Blanc F, Bories P (1984) La pancréatectomie régionale dans le traitement de l’adénocarcinome du pancréas. A propos de 41 cas. Gastroenterol Clin Biol 8: 17–21.

    PubMed  CAS  Google Scholar 

  51. Spay G (1981) Problèmes et modalités techniques de l’exérèse pancréatique totale pour adénocarcinome. Incidences du curage. J Chir (Paris) 118(3): 161–168.

    CAS  Google Scholar 

  52. Susuki T, Imamuram M, Tamura K, et al (1979) Correlative evaluation of angiography and pan-créato-ductography in relation to surgery for cancer of the pancreas. Surgery 85(6): 644–651.

    Google Scholar 

  53. Trede M (1985) The surgical treatment of pancreatic carcinoma. Surgery 97(1): 28–35.

    PubMed  CAS  Google Scholar 

  54. Tryka AF, Brooks JR (1979) Histopathology in the evaluation of total pancreatectomy for ductal carcinoma. Ann Surg 190(3): 373–381.

    Article  PubMed  CAS  Google Scholar 

  55. Van Heerden JA, Remine WH, Weiland LH, et al (1981) Total pancreatectomy for ductal adenocarcinoma of the pancreas. Ann J Surg 142: 308–311.

    Article  Google Scholar 

  56. Warshaw AL, Richter JM, Podolski DK, et al (1982) A strategy against pancreatic cancer. J Clin Gastroenterol 4: 525–532

    Article  PubMed  CAS  Google Scholar 

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Authors
  1. H. Baumel
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  2. B. Deixonne
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Editors and Affiliations

  1. Chirurgie Digestive, Hôpital Caremeau, Centre hospitalier régional et universitaire de Nîmes, Rue du Prof. Robert-Debré, F-30006, Nîmes, France

    Hughes Baumel  & Bernard Deixonne  & 

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© 1986 Springer-Verlag Berlin Heidelberg

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Baumel, H., Deixonne, B. (1986). Present Treatment Strategies. In: Baumel, H., Deixonne, B. (eds) Exocrine Pancreatic Cancer. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-71178-7_9

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  • DOI: https://doi.org/10.1007/978-3-642-71178-7_9

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-71180-0

  • Online ISBN: 978-3-642-71178-7

  • eBook Packages: Springer Book Archive

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