Total pancreatectomy and its current place in the treatment of pancreatic diseases


Authors: M. Ryska
Authors‘ workplace: Chirurgická klinika 2. LF UK a ÚVN – VFN v Praze
Published in: Gastroent Hepatol 2016; 70(5): 408-412
Category: Gastrointestinal Oncology: Review Article
doi: 10.14735/amgh2016408

Overview

Total pancreatectomy (TP) is a surgical procedure indicated selectively for patients with benign and malignant disease. In the case of malignancy, TP is indicated electively for multifocal or advanced disease, mostly for chronic pancreatitis after a non-effective primary operation. TP is indicated as “salvage surgery” in cases of acute postoperative pancreatitis or in situations where it is not possible to complete the elective partial resection. With respect to survival and quality of life, the outcomes of TP patients are comparable to those of patients who have undergone partial resection. The exclusion of patients who have a high probability of not profiting from TP is still a problem. The aim of this review is to inform gastroenterologists about the current place of TP in the treatment of malignant and benign pancreatic diseases. A multidisciplinary team and a surgeon played key roles in all cases.

Key words:
pancreatic cancer – chronic pancreatitis – total pancreatectomy – multidisciplinary team

The author declares he has no potential conflicts of interest concerning drugs, products, or services used in the study.

The Editorial Board declares that the manuscript met the ICMJE „uniform requirements“ for biomedical papers.

Submitted:
6. 9. 2016

Accepted:
18. 9. 2016


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Labels
Paediatric gastroenterology Gastroenterology and hepatology Surgery

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