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<p>Pancreatic surgery remains one of the most challenging fields in gastrointestinal surgery due to the complexity of the procedures and the high risk of postoperative complications. This article provides a&#xa0;comprehensive overview of current surgical techniques, including pancreaticoduodenectomy, left-sided and total pancreatectomy, with a&#xa0;focus on their indications, benefits, and risks. The adoption of minimally invasive techniques, including laparoscopic and robotic-assisted approaches, is transforming the field, offering potential benefits such as shorter hospital stays and faster recovery while maintaining oncological safety. However, postoperative complications, including pancreatic fistula, hemorrhage, and delayed gastric emptying, remain significant challenges. The role of a&#xa0;multidisciplinary approach, involving surgeons, oncologists, radiologists, and intensivists, plays a&#xa0;crucial role in improving patient outcomes. Advances in surgical planning and intraoperative navigation, along with molecular profiling and targeted therapies are promising avenues for personalized treatment strategies. Additionally, enhanced recovery protocols are improving postoperative care, reducing morbidity, and enhancing patients’ quality of life. As research continues, innovations in pancreatic surgery are expected to refine surgical techniques, minimize complications, and improve long-term survival rates.</p>

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Chirurgische Optionen bei Krankheiten des Pankreas

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2025年6月13日

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  • Giovanni Scotton,
  • Gerda Kienberger,
  • Filipp Sokolowski,
  • Alexander Jagoditsch,
  • Andreas Shamiyeh,
  • Stefan Stättner

摘要

Pancreatic surgery remains one of the most challenging fields in gastrointestinal surgery due to the complexity of the procedures and the high risk of postoperative complications. This article provides a comprehensive overview of current surgical techniques, including pancreaticoduodenectomy, left-sided and total pancreatectomy, with a focus on their indications, benefits, and risks. The adoption of minimally invasive techniques, including laparoscopic and robotic-assisted approaches, is transforming the field, offering potential benefits such as shorter hospital stays and faster recovery while maintaining oncological safety. However, postoperative complications, including pancreatic fistula, hemorrhage, and delayed gastric emptying, remain significant challenges. The role of a multidisciplinary approach, involving surgeons, oncologists, radiologists, and intensivists, plays a crucial role in improving patient outcomes. Advances in surgical planning and intraoperative navigation, along with molecular profiling and targeted therapies are promising avenues for personalized treatment strategies. Additionally, enhanced recovery protocols are improving postoperative care, reducing morbidity, and enhancing patients’ quality of life. As research continues, innovations in pancreatic surgery are expected to refine surgical techniques, minimize complications, and improve long-term survival rates.