title: [The surgical treatment of malignant neoplasms of the pancreas: resection or palliative intervention?].
abstract: The authors retrospectively evaluate their 10-year experience in the surgical management of pancreatic cancer, and analyze their results in terms of morbidity and long-term survival. The comparison between curative and palliative surgery shows, in this series, a better long-term survival and a better performance status for the patients in the curative group, although postoperative morbidity and mortality are higher. The difficulty of an early diagnosis as well as a correct preoperative staging is confirmed. Finally, the authors propose a personal, totally mechanic technique of digestive tract restoration after gastric resection during pancreatic surgery underlining this procedure is easy, safe, fast and functional.
authors.affiliation: II Divisione di Chirurgia Generale, Ospedale San Martino, Genova.
authors.forename: E
authors.initials: E
authors.lastname: Spagliardi
authors.forename: P
authors.initials: P
authors.lastname: Torelli
authors.forename: A
authors.initials: A
authors.lastname: Longo
authors.forename: M
authors.initials: M
authors.lastname: Barra
authors.forename: G F
authors.initials: GF
authors.lastname: Blanco
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000714:Anastomosis, Surgical; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D010166:Palliative Care; D010180:Pancreatectomy; D010190:Pancreatic Neoplasms / Q000150:complications / Q000401:mortality / Q000601:surgery*; D011183:Postoperative Complications / Q000453:epidemiology
vernacular_title: Trattamento chirurgico delle neoplasie maligne del pancreas: resezione o intervento palliativo?