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- W4385567009 abstract "Pancreatic cancer is frequently diagnosed in an advanced or even metastatic stage and additionally referral to a specialized pancreatic center is sometimes delayed. However, even in localized or regional stages, a large proportion of resections with curative intent result in margin-positive (R1) resections, if a standardized pathologic protocol is applied. Although R1 resections result in impaired survival compared to real R0 resection, there are still substantial benefits and even long-term survivors after R1 resections compared to nonsurgical treatment. Thus, the term “palliative resection” should be reserved for resections with macroscopic tumor residues (R2). Such “palliative resections” or debulking procedures have not been proven beneficial in pancreatic cancer and should thus be avoided in general. The particular challenges of pancreatic cancer, which may lead to incomplete resections in some cases, and approaches to avoid such resections are discussed in this chapter." @default.
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- W4385567009 date "2023-08-04" @default.
- W4385567009 modified "2023-10-03" @default.
- W4385567009 title "Palliative Pancreatic Resection" @default.
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- W4385567009 doi "https://doi.org/10.1002/9781119876007.ch142" @default.
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