{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T18:09:01Z","timestamp":1791914941979,"version":"4.3.4"},"reference-count":0,"publisher":"Index Copernicus","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pol Przegl Chir"],"published-print":{"date-parts":[[2018,4,30]]},"abstract":"<jats:p>The only way to cure the patient with adenocarcinoma of the pancreas (RT) is surgical excision of the tumor. The standard surgical\ntreatment of resectable pancreatic carcinoma is considered the classic pancreatoduodenectomy (PD) with the Kausch-\nWhipple procedure, or the pylorus-preserving PD with the Traverso-Longmire method. The most difficult technically and at\nthe same time the most important PD stage from an oncological point of view is the separation of the head of the pancreas\nfrom the superior mesenteric artery. Over the last decades several PD modifications have been developed, focusing on this\nmaneuver in the early phase of the operation, i.e. before the pancreas is cut (an irreversible stage of the procedure). These procedures\nin the English literature are called \u201cartery-first approach\u201d or \u201cSMA-first approach\u201d. The term \u201cmesopancreas\u201d was created.\nComplete removal of the mesopancreas together with the proximal part of the jejunum is considered an R0 resection\nin the case of a tumor of the head of the pancreas with direct or indirect vascular invasion, or metastases to regional lymph\nnodes, and in English literature it is referred to as pancreatoduodenectomy with systematic mesopancreas dissection (SMDPD).\nDistal resection of the pancreas (DRT) due to cancer, is associated with a high percentage of positive margins, insufficient\nnumber of removed lymph nodes, low survival rates. A new technique was developed - a radical proximal-distal modular pancreatosplenectomy\n(RAMPS). In RAMPS, surgical operations proceed from the side of the pancreas head towards the tail, the\npancreas is cut early, and the splenectomy is performed at the final stages of the procedure. Currently, following the PD model,\nattempts are made to further modify the original RAMPS technique, especially in the direction of SMA-first approach. In\npatients with borderline resectable pancreatic tumors or locally advanced tumors, after neoadjuvant treatment, a technique\nof radical resection with preservance of arterial vessels - \u201cthe TRIANGLE operation\u201d has been elaborated. Despite the tremendous\nprogress of surgical techniques, RT is still detected too late in the phase preventing effective resection.\n\n<\/jats:p>","DOI":"10.5604\/01.3001.0011.7493","type":"journal-article","created":{"date-parts":[[2018,5,22]],"date-time":"2018-05-22T09:04:27Z","timestamp":1526979867000},"page":"45-53","source":"Crossref","is-referenced-by-count":57,"title":["Surgical treatment of pancreatic cancer"],"prefix":"10.5604","volume":"90","author":[{"given":"Wioletta","family":"Masiak-Segit","sequence":"first","affiliation":[{"name":"II Cathedral and Clinic of General, Gastroenterological and Tumor Surgery, Medical University of Lublin, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karol","family":"Rawicz-Pruszy\u0144ski","sequence":"additional","affiliation":[{"name":"Clinic of Oncological Surgery, Medical University of Lublin, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Magdalena","family":"Sk\u00f3rzewska","sequence":"additional","affiliation":[{"name":"Clinic of Oncological Surgery, Medical University of Lublin, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wojciech P.","family":"Polkowski","sequence":"additional","affiliation":[{"name":"Clinic of Oncological Surgery, Medical University of Lublin, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"3689","container-title":["Polish Journal of Surgery"],"original-title":[],"link":[{"URL":"https:\/\/ppch.pl\/gicid\/pdf\/01.3001.0011.7493","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/ppch.pl\/gicid\/pdf\/01.3001.0011.7493","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2018,5,22]],"date-time":"2018-05-22T09:04:31Z","timestamp":1526979871000},"score":1,"resource":{"primary":{"URL":"https:\/\/ppch.pl\/gicid\/01.3001.0011.7493"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,4,30]]},"references-count":0,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2018,4,30]]}},"URL":"https:\/\/doi.org\/10.5604\/01.3001.0011.7493","relation":{},"ISSN":["0032-373X","2299-2847"],"issn-type":[{"value":"0032-373X","type":"print"},{"value":"2299-2847","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,4,30]]}}}