Palliative therapy for pancreatic/biliary cancer.

摘要: Palliative treatment for unresectable periampullary cancer is directed at three major symptoms: obstructive jaundice, duodenal obstruction, and cancer-related pain. In most cases, the pattern of symptoms time diagnosis in context patient's medical condition projected survival influence decision to perform an operative versus a non palliative procedure. Despite improvements preoperative imaging laparoscopic staging patients with hilar cholangiocarcinoma, surgical exploration only modality that can definitively rule out resectability potential curative resection some nonmetastatic cancer. Furthermore, management achieves successful palliation pain as single procedure during exploration. To take advantage long-term advantages afforded by palliation,operative procedures must be performed acceptable morbidity. The average postoperative length hospital stay who undergo less than 15 days, even those develop minor complications. receive alone nonmetastatic, pancreatic approximately 8 months. As all planning, therapy biliary should planned using multidisciplinary approach, including input from surgeon, gastroenterologist, radiologist,and radiation oncologist. this way, quality life optimized these diseases.