Details

Autor(en) / Beteiligte

• Bednar, Filip
• Simeone, Diane M

Titel

Recent advances in pancreatic surgery

Ist Teil von

• Current opinion in gastroenterology, 2014-09, Vol.30 (5), p.518-523

Ort / Verlag

United States: Wolters Kluwer Health | Lippincott Williams & Wilkins

Erscheinungsjahr

2014

Quelle

MEDLINE

Beschreibungen/Notizen

• PURPOSE OF REVIEWTo appraise the recent literature dealing with important advances in the field of pancreatic surgery. RECENT FINDINGSSurgical care for pancreatic cancer patients remains fractured, with imperfect patient selection and ongoing bias in referral patterns based on socioeconomic factors. Analysis of readmissions after pancreatectomy reveals it to be a poor quality of care metric. More extensive pancreatic resections lead to higher morbidity. Intraductal papillary mucinous neoplasm and pancreatic neuroendocrine tumor biology affect patient outcomes and suggest the need for better diagnostic approaches for these entities. Perioperative drainage still has a role during Whipple pancreaticoduodenectomy on the basis of the results of a randomized controlled trial. Laparoscopic and robotic approaches married with new emerging technologies have the potential to transform the practice of pancreatic surgery. SUMMARYPancreatic surgery is a rapidly evolving field with the promise to significantly improve outcomes for patients with a variety of pancreatic diseases in the future.