title: Value of regional lymphadenectomy in pancreatic cancer.
abstract: Radical surgical resection and adjuvant chemotherapy are the goal standard to attempt significant long term survival in patients suffering from ductal pancreatic cancer. The role of extended lymph-node dissection is still a debated issue. In this paper a deep review of the experiences reported in the literature is carried out. Several studies are limited, not randomized and retrospective: generally speaking they seem to suggest a positive role in node dissection. Unfortunately, this trend is not confirmed in the only two trials conducted in a prospective and randomized setting. Moreover the results of these studies are also difficult to compare. At the moment we can say that extended lymphadenectomy does not play a determinant role for long term survival but a positive trend has been shown for node positive patients.
authors.affiliation: Surgical and Gastroenterological Department, University of Verona, Verona, Italy. claudio.bassi@univr.it
authors.forename: C
authors.initials: C
authors.lastname: Bassi
authors.forename: R
authors.initials: R
authors.lastname: Salvia
authors.forename: G
authors.initials: G
authors.lastname: Butturini
authors.forename: S
authors.initials: S
authors.lastname: Marcucci
authors.forename: G
authors.initials: G
authors.lastname: Barugola
authors.forename: M
authors.initials: M
authors.lastname: Falconi