HPB Virtual Journal Club Number 6, October 2013
“Making Progress Against Pancreatic Cancer”
Though slow, progress is being made worldwide against pancreatic cancer. Advances in imaging, staging, resection, and palliation are being realized and are helping more and more patients. New outcome metrics are being refined to reflect and drive overall quality of care. This occurs in parallel to technical advances for pancreatectomy. While a breakthrough systemic therapy is still awaited, new and aggressive chemotherapy, radiation therapy and soon biotherapy regimens are being advanced. These recently published HPB articles together with an expert procedure video provide your Journal Club the content to meet these Learning Objectives:
- Using a review of 66 literature articles, understand the roles of contemporary imaging modalities in the diagnosis and determination of resectability of pancreatic cancer.
- Understand the purpose and value of pancreatic cancer clinical care guidelines, and how non-compliance and variations in care can undermine quality and patients outcomes.
- Understand whether contemporary imaging and staging modalities of pancreatic head cancers can accurately predict the need and extent of vascular resection during open pancreaticoduodenectomy.
- Understand the challenges and technical feasibility of major venous resection during total laparoscopic pancreaticoduodenectomy.
- Understand the utility, options and outcomes for various operative and non-operative palliation measures for unresectable pancreatic cancer.
- Review an expert opinion of why deliberate multimodal therapy of cancer cachexia will be essential in our next era of pancreatic cancer care.