Extended lymphadenectomy in the surgery of pancreatic adenocarcinoma and its relation to quality improvement issues | Zendy

Rupp Christopher C. | Zendy; Linehan David C. | Zendy

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Extended lymphadenectomy in the surgery of pancreatic adenocarcinoma and its relation to quality improvement issues

Author(s) -

Rupp Christopher C.,

Linehan David C.

Publication year - 2008

Publication title -

journal of surgical oncology

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 1.201

H-Index - 111

eISSN - 1096-9098

pISSN - 0022-4790

DOI - 10.1002/jso.21210

Subject(s) - medicine , lymphadenectomy , pancreatic cancer , adenocarcinoma , lymph node , oncology , chemotherapy , pancreatic ductal adenocarcinoma , adjuvant chemotherapy , surgery , general surgery , cancer , breast cancer

Extended lymphadenectomy has been proposed for loco‐regional control of pancreatic adenocarcinoma. While retrospective series suggested a benefit, subsequent prospective trials have not shown a survival benefit. Methods to improve loco‐regional control of pancreatic body/tail cancer have not been extensively investigated. Lymph node status is an important surrogate of survival but is not a driving factor for adjuvant chemotherapy. Quality improvement in pancreatic cancer surgery is discussed, focusing on the impact of lymph nodes in determining prognosis. J. Surg. Oncol. 2009;99:207–214. © 2008 Wiley‐Liss, Inc.

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