Abstract
Für die erweiterte Lymphknoten- und Bindegewebsdissektion beim duktalen Pankreaskarzinom finden sich in der Literatur drei relevante Studien, die bei hoher Morbidität und Letalität eine Prognoseverbesserung zeigen können. Aus den Erfahrungen läßt sich folgern, daß die erweiterte Lymphknoten- und Bindegewebsdissektion sicherlich ungeeignet für fortgeschrittene Karzinome ist. Um ein Überlebensbenefit für noch zu definierende Subgruppen von Patienten mit einem duktalen Pankreaskarzinom zu finden, sollte die Effektivität dieses aufwendigen Operationsverfahrens in Studien prospektiv (vergleichbare Tumorstadien!) geprüft werden.
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© 1997 S. Karger AG, Basel
1997
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