0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Invited Critique |

Changes in Morbidity After Pancreatic Resection—Invited Critique

Yuman Fong, MD
Arch Surg. 2003;138(12):1315. doi:10.1001/archsurg.138.12.1315.
Text Size: A A A
Published online

Extract

The past 2 decades have seen tremendous improvements and refinements in pancreatic resections. The article in this issue of the ARCHIVES by Büchler and colleagues is a remarkable documentation of 617 pancreatectomies performed by a single group and echoes the results currently seen in many major centers. The pancreatoduodenectomy is now performed in a few hours at most major hospitals, with operative mortalities less than 4% and with most patients returning to normal function. Because pancreatectomy represents the only curative therapy for pancreatic adenocarcinoma, improvement in perioperative outcome is a first step toward effective treatment of this disease. However, the long-term outcome for pancreatic adenocarcinoma is still extremely poor. The actuarial 5-year survival in most major series is less than 20%, and even at major centers, there are few actual 5-year, disease-free survivors.13 Thus, the surgical procedure has prolonged survival but has had little effect on long-term outcome for most of the 30 000 patients each year treated for adenocarcinoma of the pancreas.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Correspondence

CME
Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

See Also...
Articles Related By Topic
Related Collections
PubMed Articles
Jobs
brightcove.createExperiences();