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Indian Journal of Surgery

Erschienen in:

01.10.2015 | Original Article

Surgery for Pancreatic and Periampullary Carcinoma

verfasst von: Abhishek Mitra, Ashwin D’Souza, Mahesh Goel, Shailesh V. Shrikhande

Erschienen in: Indian Journal of Surgery | Ausgabe 5/2015

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Abstract

Surgical resection for pancreatic and periampullary cancer has evolved over several decades. The postoperative mortality for these resections has declined to less than 5 %. However, morbidity associated with these resections is still considerable. Various technical modifications like pylorus preservation, reconstruction techniques and methods to perform pancreaticoenteric anastomosis have been suggested to improve postoperative outcomes after pancreaticoduodenectomy. Surgical modifications to improve oncological clearance and decrease fistula rates after distal pancreatic resections have also been suggested. Dilemma still exists whether interventions like pancreatic duct stents, octreotide and drains help to improve postoperative outcomes. The role of extended lymph node dissection and extended resections for pancreatic and periampullary cancer is still controversial, as is the management of borderline resectable pancreatic cancer. In this review, we discuss the literature pertaining to various surgical aspects of pancreatic and periampullary carcinoma.

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Titel: Surgery for Pancreatic and Periampullary Carcinoma
verfasst von: Abhishek Mitra
Ashwin D’Souza
Mahesh Goel
Shailesh V. Shrikhande
Publikationsdatum: 01.10.2015
Verlag: Springer India
Erschienen in: Indian Journal of Surgery / Ausgabe 5/2015
Print ISSN: 0972-2068
Elektronische ISSN: 0973-9793
DOI: https://doi.org/10.1007/s12262-015-1358-9

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