Surgery for Pancreatic and Periampullary Cancer Principles and Pract

This book covers the full range of advanced surgical techniques for pancreatic and periampullary cancers with a focus on major and minor operative techniques and reconstruction methods. Globally respected surgeons share their expertise and personal views

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Surgery for Pancreatic and Periampullary Cancer Principles and Practice

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Surgery for Pancreatic and Periampullary Cancer

Mallika Tewari Editor

Surgery for Pancreatic and Periampullary Cancer Principles and Practice

Editor Mallika Tewari Chief Hepato-Pancreato-Biliary and Gastrointestinal Division Department of Surgical Oncology Institute of Medical Sciences Banaras Hindu University Varanasi, U.P., India

ISBN 978-981-10-7463-9    ISBN 978-981-10-7464-6 (eBook) https://doi.org/10.1007/978-981-10-7464-6 Library of Congress Control Number: 2018941814 © Springer Nature Singapore Pte Ltd. 2018 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. Printed on acid-free paper This Springer imprint is published by the registered company Springer Nature Singapore Pte Ltd part of Springer Nature. The registered company address is: 152 Beach Road, #21-01/04 Gateway East, Singapore 189721, Singapore

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Foreword

Modern science and technologies have enabled clinicians in recent years to better understand perhaps the least understood of human organs—the pancreas. Greater awareness and increased detection of pancreatic pathologies have aroused interest among basic researchers, pancreatologists, gastroenterologists, and pancreatic surgeons. Despite phenomenal advances in unraveling the mystery of pancreatic and periampullary cancers, radical and high-quality surgery by experienced surgeons remains the only curative treatment option in these aggressive cancers. Pancreatic surgery is widely regarded as the most challenging of surgeries. The reasons are easy to understand, viz., complex anatomical location with variations that are a norm rather than an exception and a reconstruction and difficult lymphadenectomy that are often the Achilles heel dictating shortand long-term outcomes. To add to the complexity, almost all pancreatic resections inv