Skip to main content
padlock icon - secure page this page is secure

Current standards of surgery for pancreatic cancer

The full text article is not available for purchase.

The publisher only permits individual articles to be downloaded by subscribers.


Pancreatic cancer carries a dismal prognosis but there has been a vast increase in evidence on its management in the past decade.


An electronic and manual search was performed for articles on the surgical treatment of pancreatic cancer published in the past 10 years.


Six major areas of advancement were identified. Groups at high risk of developing pancreatic cancer, notably those with chronic pancreatitis and hereditary pancreatitis, have been defined, raising the need for secondary screening. Methods of staging pancreatic cancer for resection have greatly improved but accuracy is still only 85–90 per cent. Pylorus‐preserving partial pancreatoduodenectomy without extended lymphadenectomy is the simplest procedure; it does not compromise long‐term survival. Adjuvant chemotherapy significantly improves long‐term survival. Patients who are free from major co‐morbidity have better palliation by surgery (with a double bypass) than by endoscopy. High‐volume centres improve the results of surgery for all outcome measures including long‐term survival.


The surgical management of pancreatic cancer has undergone a significant change in the past decade. It has moved away from no active treatment. The standard of care can now be defined as potentially curative resection in a specialist centre followed by adjuvant systemic chemotherapy. Copyright © 2004 British Journal of Surgery Society Ltd. Published by John Wiley & Sons, Ltd.
No References
No Citations
No Supplementary Data
No Article Media
No Metrics

Document Type: Review Article

Affiliations: Department of Surgery, University of Liverpool, Royal Liverpool University Hospital, 5th floor, UCD Building, Daulby Street, Liverpool L69 3GA, UK

Publication date: November 1, 2004

More about this publication?
  • Access Key
  • Free content
  • Partial Free content
  • New content
  • Open access content
  • Partial Open access content
  • Subscribed content
  • Partial Subscribed content
  • Free trial content
Cookie Policy
Cookie Policy
Ingenta Connect website makes use of cookies so as to keep track of data that you have filled in. I am Happy with this Find out more