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Pancreatic Surgery in Cancer Patients

Post-Surgical Care
  • Kristine McCarthyEmail author
  • Wei ZhangEmail author
  • Jose Soliz
  • Danilo Lovinaria
Reference work entry

Abstract

Pancreatic cancer, despite its low occurrence, is the tenth leading cause of cancer in the United States, but the fourth leading cause of cancer-related deaths among men and women (Niederhuber et al., Abeloff’s clinical oncology. 5th ed. Philadelphis: Saunders; 2014). Although there is no evidence linking pancreatic cancer to caffeine consumption, cholelithiasis, or diabetes mellitus, its occurrence increased steadily in recent years, possibly due to the increase in the prevalence of obesity, obesity-related health issues, aging population, and other unknown factors. The high mortality rate remains largely unchanged. Ductal adenocarcinoma and its variants account for the most pancreatic malignancies. High-quality imaging preoperatively is important in distinguishing between potential resectable and unresectable diseases. The National Comprehensive Cancer Network (NCCN) established clinical guidelines to assist clinicians in clinical decision-making regarding pancreatic cancer treatment. Those guidelines focus on the diagnosis and the treatment with systemic therapy, radiation therapy, and surgical resection. At a large-volume cancer center, the overall guiding principle in managing pancreatic cancer focuses on well-organized multidisciplinary teams. From multiphase imaging studies, surgery, medical oncology, interventional endoscopy, anesthesiology, dietitian, critical care team, nursing, caregivers, and all teams are critical in successfully managing this disease.

Keywords

Pancreatic cancer Pancreatic resection Metastatic disease Pancreatic surgery Postoperative Fistula Whipple Pasireotide 

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Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  1. 1.The University of Texas, MD Anderson Cancer CenterHoustonUSA
  2. 2.University of Minnesota Nurse Anesthesia ProgramMinneapolisUSA

Section editors and affiliations

  • Garry Brydges
    • 1
  1. 1.Department of Anesthesiology Division of Anesthesia, Critical Care and Pain MedicineThe University of Texas MD Anderson Cancer CenterHoustonUSA

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