Historical evolution of the surgical treatment of pancreatic cancer
DOI:
https://doi.org/10.15448/1980-6108.2014.2.17647Keywords:
CANCER OF PANCREAS, PANCREATICODUODENECTOMY, HISTORY OF MEDICINE, SURGERYAbstract
AIMS: To review the main historical aspects of the evolution of the treatment of pancreatic cancer. SOURCE OF DATA: Literature review through PubMed. Selected articles on the history of the treatment of pancreatic cancer were analyzed. SUMMARY OF FINDINGS: Complete surgical resection is the only therapeutic alternative that may allow cure of patients with pancreatic cancer. However, pancreaticoduodenectomy is one of the most challenging surgical procedures, requiring surgeons with a high level of training for its secure implementation. Several protagonists were involved in the evolution of the surgical technique in pancreatic surgery until the procedure reached current levels of security. CONCLUSIONS: Despite the safety with which pancreaticoduodenectomy is currently performed, postoperative survival in pancreatic cancer is still insufficient, suggesting that technical issues are just one of the steps needed to improve outcome. Better screening methods to diagnose earlier tumors, identification of high risk patients and improvement in adjuvant treatment are needed to increase the cure rate of this neoplasm.Downloads
References
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