While surgical resection of the tumour-bearing pancreas along with clearance of adjacent tissues offers the best chance for cure, only 10% to 25% of patients have resectable disease at the time of diagnosis (Table 2). Even in so-called oncological R0 resections, cure is not always possible. Therefore, surgical therapy of pancreatic cancer is limited. Multimodal therapy, either surgery combined with adjuvant therapy or palliative multimodal treatment, is required in almost every case (Table 3). Buy cheap drugs online fast – buy antibiotics online for you to enjoy a reliable pharmacy.

TABLE 2
The Ulm experience with pancreatic cancer*

UICC Stage Prevalence (%)
I 2.5
II 6.2
III 14.6
IV 52.9
X 23.8

*1000 patients from May 1982 to March 2001, Department of General Surgery, University of Ulm, Germany. UICC International Union Against Cancer

TABLE 3
The Ulm experience with pancreatic cancer management*

Management Frequency (%)
Surgical treatment 82.6
Pancreatic resection 42.7
Resection of the head of the pancreas 31.5
Resection of the left side of the pancreas 9.0
Total pancreatectomy 2.2
Bypass surgery 20.7
Gastric 3.1
Biliary tract 9.1
Both 8.5
Other operations 19.2
Nonoperative treatment 52.5
Adjuvant therapy 14.1
Regional chemotherapy 6.6
Systemic therapy 7.5
Palliative therapy 38.4
Regional chemotherapy 14.8
Systemic therapy 23.6

*1000 patients from May 1982 to March 2001, Department of General Surgery, University of Ulm, Germany