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MANAGEMENT

MANAGEMENT. SURGICAL RESECTION. Only potentially curative treatment for patients with pancreatic cancer The resectability of malignant pancreatic tumors needs to be established Pancreatic masses are characterized resectable , unresectable , or borderline resectable . .

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MANAGEMENT

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  1. MANAGEMENT

  2. SURGICAL RESECTION • Only potentially curative treatment for patients with pancreatic cancer • The resectability of malignant pancreatic tumors needs to be established • Pancreatic masses are characterized • resectable, unresectable, or borderline resectable. 

  3. SURGICAL RESECTION • Pancreaticoduodenectomy(whipple procedure) • Distal pancreatectomy • Total pancreatectomy

  4. PANCREATICODUODENECTOMY (WHIPPLE PROCEDURE) • Removal of the head and uncinate process of the pancreas, duodenum, proximal 6 in (15 cm) of jejunum, gallbladder, common bile duct, and distal stomach • With anastomosis of the common hepatic duct and the remaining pancreas and stomach to the jejunum • All share a common blood supply

  5. PANCREATICODUODENECTOMY (WHIPPLE PROCEDURE) The Whipple procedure. Before the procedure(A). After the procedure; note the anastomosis of the hepatic duct and the remaining pancreas and stomach to the jejunum(B).

  6. PANCREATICODUODENECTOMY (WHIPPLE PROCEDURE) • Patients who will most likely benefit from this procedure have a tumor located in the head of the pancreas or the periampullary region

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