Skip to main content

Diagnosis and Staging of Pancreatic Cancer

The Role of Laparoscopy

  • Chapter
Pancreatic Cancer
  • 161 Accesses

Abstract

Patients with adenocarcinoma of the pancreas have a dismal prognosis. Only 3% of all patients with this tumor survive for 5 yr (1). However, resection of pancreatic cancer in selected patients can lead to 5-yr survival rates of 20%, as well as prolongation of median survival for those who recur (2,3). A key task in managing patients with pancreatic cancer is to efficiently determine which patients may benefit from a therapeutic intervention, and which patients are unlikely to receive either significant palliation or chance of cure from a potentially morbid therapy.

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 84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 219.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

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

  1. Warshaw AL and Fernandez del-Castillo C. Pancreatic carcinoma. N Engl J Med 1992; 326:455–465.

    Article  PubMed  CAS  Google Scholar 

  2. Conlon KC, Klimstra DS, and Brennan MF. Long-term survival after curative resection for pancreatic ductal adenocarcinoma: clinicopathologic analysis of 5 year survivors. Ann Surg 1996; 223:273–279.

    Article  PubMed  CAS  Google Scholar 

  3. Fernandez-del Castillo C, Rattner DW, and Warshaw AL. Standards for pancreatic resection in the 1990s. Arch Surg 1995; 130:295–300.

    Article  PubMed  CAS  Google Scholar 

  4. Moertel CG, Frytak S, Hahn RG, et al. Therapy of locally unresectable pancreatic carcinoma: a randomized comparison of high dose (6000 rads) radiation alone, moderate dose radiation (4000 rads + 5-fluorouracil), and high dose radiation + 5-fluorouracil: The Gastrointestinal Tumor Study Group. Cancer 1981; 48:1705–1710.

    Article  PubMed  CAS  Google Scholar 

  5. Conlon KC, Dougherty E, Klimstra DS, Coit DG, Turnbull ADM, and Brennan MF. The value of minimal access surgery in the staging of patients with potentially resectable peripancreatic malignancy. Ann Surg 1996; 223:134–140.

    Article  PubMed  CAS  Google Scholar 

  6. Warshaw AL, Gu Z, Wittenberg J, and Waltman AC. Preoperative staging and assessment of resectability of pancreatic cancer. Arch Surg 1990; 125:230–233.

    Article  PubMed  CAS  Google Scholar 

  7. Warshaw AL, Tepper JE, and Shipley WU. Laparoscopy in the staging and planning of therapy for pancreatic cancer. Am J Surg 1985; 151:76–80.

    Article  Google Scholar 

  8. Cuschieri A. Laparoscopy for pancreatic cancer: Does it benefit the patient? Eur J Surg Oncol 1988; 14:41–44.

    PubMed  CAS  Google Scholar 

  9. Brady PG, Peebles M, and Goldschmid S. Role of laparoscopy in the evaluation of patients with suspected hepatic and peritoneal malignancy. Gastrointest Endosc 1991; 37:27–30.

    Article  PubMed  CAS  Google Scholar 

  10. Fernandez-del Castillo C, Rattner DW, and Warshaw AL. Further experience with laparoscopy and peritoneal cytology in the staging of pancreatic cancer. Br J Surg 1995; 82:1127–1129.

    Article  PubMed  CAS  Google Scholar 

  11. Freeny PC, Traverso LW, and Ryan JA. Diagnosis and staging of pancreatic adenocarcinoma with dynamic computed tomography. Am J Surg 1993; 165:600–606.

    Article  PubMed  CAS  Google Scholar 

  12. Warshaw AL. Implications of peritoneal cytology for staging of early pancreatic cancer. Am J Surxg 1911; 161:26–30.

    Article  Google Scholar 

  13. Lei S, Kini J, Kim K, and Howard JM. Pancreatic cancer cytologic study of peritoneal washings. Arch Surg 1994; 129:639–642.

    Article  PubMed  CAS  Google Scholar 

  14. Leach SD, Rose JA, Lowy AM, et al. Significance of peritoneal cytology in patients with potentially resectable adenocarcinoma of the pancreatic head. Surgery 1995; 118:412–478.

    Article  Google Scholar 

  15. Schirmer B. Laparoscopic ultrasonography: enhancing minimally invasive surgery. Ann Surxg 1994; 220:709–710.

    Article  CAS  Google Scholar 

  16. Murugiah M. Paterson-Brown S, Windsor JA, Miles WFA, and Garden OJ. Early experience of laparoscopic ultrasonography in the management of pancreatic carcinoma. Surg Endosc 1993; 7:177–181.

    Article  PubMed  CAS  Google Scholar 

  17. Hann LE, Conlon KC, Dougherty EC, Hilton S, Bach AM, and Brennan MF. Laparoscopic sonography of peripancreatic tumors: preliminary experience. Am J Roentgerentol 1997; 169(5): 1257–1262.

    Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1998 Springer Science+Business Media New York

About this chapter

Cite this chapter

Schwarze, M., Rattner, D.W. (1998). Diagnosis and Staging of Pancreatic Cancer. In: Reber, H.A. (eds) Pancreatic Cancer. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-4612-1810-4_9

Download citation

  • DOI: https://doi.org/10.1007/978-1-4612-1810-4_9

  • Publisher Name: Humana Press, Totowa, NJ

  • Print ISBN: 978-1-4612-7294-6

  • Online ISBN: 978-1-4612-1810-4

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics