The Role of Nanoknife in Improving Stage III and IV Outcomes ... | 合法醫療器材資訊網

ThegoldstandardofcareinthecureofPancreaticCancer,assmallasthatmaybeataround10%,hasbeensurgicalresectionviaWhippleforHeadof ...

The “gold standard of care” in the cure of Pancreatic Cancer, as small as that may be at around 10%, has been surgical resection via Whipple for Head of Pancreas Cancer or Distal Pancreatectomy for cancers arising in the Body or Tail of the Pancreas. One must have negative margins as surgical resection with positive margins confers virtually no significant survival advantage so the importance of a clear margin cannot be stressed enough. The technical ability to resect with negative margins has been a function of the percentage of circumferential vessel involvement. We categorize tumors as either:

Resectable– no vessel involvement

Borderline Resectable– less than 180degree

Unresectable-encasement

Resectable:

Patients who are non-metastatic and resectable may be resected either at the time of diagnosis or after a brief course of Neo-adjuvant chem...