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Primary Surgical Therapy

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.

SOURCE: Primary Surgical Therapy ( )
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