How we treat pancreatic cancerThe only pancreatic cancer treatment with a chance of recovery is the complete surgical removal of the tumour. Our specialists at Schoen Clinic have extensive experience in this challenging intervention.
Conservative treatment methods
Pancreatic cancer: Treatment with chemotherapyIn general, the diagnosis of pancreatic cancer requires chemotherapy. For patients who are not eligible for an operation, this is recommended concomitantly in order to minimise subsequent complications. It is not normally possible to cure the disease with chemotherapy alone. If pancreatic cancer has progressed locally, but has not yet spread, chemotherapy may also be useful before surgery. That’s how we increase the likelihood of complete surgical tumour removal. Whether further chemotherapy is required after surgery depends on the final histological examination. Close-meshed oncological aftercare is necessary in every case. Your further oncological care is also always guaranteed by our outpatient tumour centre.
Surgical treatment methods
Pancreatic cancer: Treatment with surgical therapyThree-quarters of tumours develop in the pancreas head, the part furthest to the right of the duodenum. 20 per cent develop in the middle part and five per cent in the left-hand extension towards the spleen, the pancreatic tail.
Pancreatic cancer: Treatment with tumour in the pancreas headIn addition to the tumour-bearing right-hand part of the pancreas (pancreas head), the gallbladder, duodenum and sometimes also part of the stomach are removed during the operation. In some cases, the entire pancreas must be removed (total pancreatectomy) and blood vessels reconstructed if freedom from tumours is to be achieved.
Since the duodenum is removed during this operation, the connection between the stomach and small intestine is initially interrupted. This also applies to the outflow of bile formed by the liver into the intestine and the outflow of pancreatic secretion into the intestine. This connection must be re-established in the second part of the operation in order for you to be able to eat food again and for bile to drain into the small intestine. This is done by attaching a small intestine loop to the stomach or residual stomach or the bile duct. The remaining pancreas is either returned to the intestine via an intestinal loop or sutured into the stomach.