Revised 12 June 2013

Surgical treatment of pancreatic cancer should be undertaken by surgeons having expertise and experience with these tumours.​

For resectable adenocarcinomas: The goal of surgery should be an R0 resection with curative intent.

• surgical resection of the primary tumour by a Whipple procedure (pancreaticoduodenectomy) or distal pancreatectomy

For unresectable locally advanced or metastatic adenocarcinoma: palliative surgical biliary and/or gastric bypass, percutaneous radiologic biliary stent placement, or endoscopic biliary stent placement can be considered for symptomatic relief.