Abstract

Pancreatic resection is the treatment of choice for pancreatic cancer. Unfortunately it can be performed only in 5% to 40% of pancreatic cancer patients undergoing exploratory laparotomy. The extent of lymphadenectomy to be associated with pancreatic resection is widely debated. Palliative, standard, traditional, extended, Dl, D2, D3, regional, extended retroperitoneal, standard radical, and extended radical are only some of the terms used to indicate the extent of lymph node dissection. To try to overcome the problems created by this “Babel” of terms, a Consensus Conference took place in Castelfranco Veneto, Italy, in May 1998. The results have been published’ and are summarized herein (the Japanese Pancreas Society rules for the study of pancreatic cancer were chosen to define the lymph node stations to be removed?).

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