New approaches to the minimauy invasive treatment of pancreatic cancer

Research output: Contribution to journalArticle

Abstract

Advances in minimally invasive surgery have revolutionized the field of surgery. Despite the great strides in equipment and experience, operative conduct remains confined by the limits of exposure. Retroperitoneal fat can be abundant and can contribute greatly to difficulty in exposure. Visceral organs ventral to the retroperitoneum preclude direct access and require optimal patient positioning to operate. Additionally, the major vascular pedicles all originate in the retroperitoneum off of the abdominal aorta or enter the inferior vena cava. The pancreas, in particular, is surrounded by the portal vein, celiac axis, superior mesenteric vein and artery, and splenic vein and artery. If injured during surgery, these vessels can present a life-threatening emergency. The issues related to the vasculature, coupled with the difficulty in resecting portions of the pancreas and the relative paucity of pancreatic procedures, have greatly concentrated these cases at tertiary care centers staffed by experienced laparoscopists. However, as surgical technology improves and fellowships train more surgeons with advanced laparoscopic skills, minimally invasive pancreatic surgery may diffuse with more community-based health care networks.

Original languageEnglish (US)
Pages (from-to)43-51
Number of pages9
JournalCancer Journal
Volume11
Issue number1
StatePublished - 1998

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Minimally Invasive Surgical Procedures
Pancreatic Neoplasms
Pancreas
Splenic Vein
Patient Positioning
Splenic Artery
Mesenteric Veins
Community Health Services
Superior Mesenteric Artery
Intra-Abdominal Fat
Abdominal Aorta
Inferior Vena Cava
Portal Vein
Tertiary Care Centers
Abdomen
Blood Vessels
Emergencies
Technology
Equipment and Supplies
Therapeutics

Keywords

  • Minimally invasive surgery
  • Neuroendocrine tumors of pacreas
  • Pancreas pain
  • Pancreatic adenocarcinoma
  • Pancreatic cysts

ASJC Scopus subject areas

  • Cancer Research
  • Oncology

Cite this

New approaches to the minimauy invasive treatment of pancreatic cancer. / Tseng, Daniel; Sheppard, Brett C.; Hunter, John G.

In: Cancer Journal, Vol. 11, No. 1, 1998, p. 43-51.

Research output: Contribution to journalArticle

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