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Preoperative Staging and Resectability Assessment of Pancreatic Cancer

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Surgical Treatment of Pancreatic Diseases

Part of the book series: Updates in Surgery ((UPDATESSURG))

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Abstract

Surgical resection is the most important aspect of therapy for pancreatic carcinoma. However, surgery is increasingly considered as a therapeutic option to be combined with other treatments such as chemotherapy and radiotherapy. This is especially true for locally advanced tumors, where surgical treatment alone does not typically result in a satisfactory rate of overall survival. For pancreatic carcinoma, as for other solid tumors, the therapeutic strategy depends on the stage of the disease, and accurate staging is mandatory before starting treatment. In the last 20 years, this strategy has promoted the development of more accurate and sophisticated staging techniques; historically, exploratory laparotomies accounted for up to 50% of the patients considered to be resectable at preoperative staging [1–4], and modern multimodal treatments are diversified regardless of whether the tumor is resectable, locally advanced, or metastatic [5, 6].

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  1. Department of General Surgery, Medical School A. Gemelli, University of the Sacred Heart, Rome, Italy

    Roberto Persiani, Alberto Biondi, Marco Zoccali & Domenico D’Ugo

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  1. Roberto Persiani
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  2. Alberto Biondi
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  3. Marco Zoccali
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Persiani, R., Biondi, A., Zoccali, M., D’Ugo, D. (2009). Preoperative Staging and Resectability Assessment of Pancreatic Cancer. In: Surgical Treatment of Pancreatic Diseases. Updates in Surgery. Springer, Milano. https://doi.org/10.1007/978-88-470-0856-4_16

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  • DOI: https://doi.org/10.1007/978-88-470-0856-4_16

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