Resection with Intent to Cure Pancreatic Cancer

  • J. A. van Heerden
Conference paper

Abstract

Although controversy abounds regarding the diagnostic and management aspects of pancreatic malignancies, there is uniform agreement throughout the surgical community that resection offers the patient the only chance for cure, albeit rare. When evaluating the efficacy of any surgical procedure, it is worthwhile to remind ourselves of the three criteria for an acceptable cancer operation, regardless of the site of origin of the malignancy:
  1. 1.

    The operation should have a low operative mortality.

     
  2. 2.

    The operation should have an acceptable short- and long-term morbidity, i.e., it should not substantially reduce the quality of life.

     
  3. 3.

    The operation should afford the patient an improved long-term survival over other treatment modalities which are nonsurgical in nature (radio- and/or chemotherapy).

     

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References

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    Beazley RM, Cohn I Jr (1988) Update on pancreatic cancer. CA 38(5):308–319Google Scholar
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    Trede M (1985) The surgical treatment of pancreatic carcinoma. Surgery 97: 28–35PubMedGoogle Scholar
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    Kummerle F, Ruckert K (1984) Surgical treatment of pancreatic cancer. World J Surg 8: 889–894PubMedCrossRefGoogle Scholar
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    Crist DW, Sitzmann JV, Camceron JL (1987) Improved hospital morbidity, mortality and survival after the Whipple procedure. Ann Surg 206: 358–365PubMedCrossRefGoogle Scholar
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    van Heerden JA (1984) Pancreatic resection for carcinoma of the pancreas: Whipple versus total pancreatectomy — an institutional perspective. World J Surg 8: 880–888PubMedCrossRefGoogle Scholar
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    Braasch JW, Gongliang J, Rossi RL (1984) Pancreatoduodenectomy with preservation of the pylorus. World J Surg 8: 900–905PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1990

Authors and Affiliations

  • J. A. van Heerden
    • 1
  1. 1.Mayo ClinicMayo Medical SchoolRochesterUSA

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