Pancreatic surgery: evolution and current tailored approach.
Surgical resection of pancreatic cancer offers the only chance for prolonged survival. Pancretic resections are technically challenging, and are accompanied by a substantial risk for postoperative complications, the most significant complication being a pancreatic fistula. Risk factors for development of pancreatic leakage are now well known, and several prophylactic pharmacological measures, as well as technical interventions have been suggested in prevention of pancreatic fistula. With better postoperative care and improved radiological interventions, most frequently complications can be managed conservatively. This review also attempts to address some of the controversies related to optimal management of the pancreatic remnant after pancreaticoduodenectomy.
Department of Surgery, University Clinical Hospital "Sisters of Charity", Zagreb, Croatia.
Mario
M
Zovak
Department of Surgery, University Clinical Hospital "Sisters of Charity", Zagreb, Croatia.
Dubravka
D
Mužina Mišić
Department of Surgery, University Clinical Hospital "Sisters of Charity", Zagreb, Croatia.
Goran
G
Glavčić
Pancreatic cancer; pancreatic anastomosis; pancreatic fistula; pancreatic resection; total pancreatectomy