{"id":"https://openalex.org/W2139646491","doi":null,"title":"Surgery for advanced and metastatic pancreatic cancer--current state and perspectives.","display_name":"Surgery for advanced and metastatic pancreatic cancer--current state and perspectives.","publication_year":2006,"publication_date":"2006-06-12","ids":{"openalex":"https://openalex.org/W2139646491","mag":"2139646491","pmid":"https://pubmed.ncbi.nlm.nih.gov/16739338"},"language":"en","primary_location":{"id":"pmid:16739338","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/16739338","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Anticancer research","raw_type":"Journal Article"},"volume":null,"type":"article","indexed_in":["pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5088527138","display_name":"Oliver Mann","orcid":"https://orcid.org/0000-0002-1506-2744","observed_orcids":["https://orcid.org/0000-0002-1506-2744"]},"institutions":[{"id":"https://openalex.org/I4210108711","display_name":"University Medical Center Hamburg-Eppendorf","ror":"https://ror.org/01zgy1s35","country_code":"DE","type":"healthcare","lineage":["https://openalex.org/I159176309","https://openalex.org/I4210108711"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Oliver Mann","raw_affiliation_strings":["Department of General, Visceral and Thoracic Surgery, University Medical Center Hamburg-Eppendorf, Germany"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of General, Visceral and Thoracic Surgery, University Medical Center Hamburg-Eppendorf, Germany","institution_ids":["https://openalex.org/I4210108711"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5022444738","display_name":"Tim G. Strate","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Tim Strate","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5065565100","display_name":"Claus G. Schneider","orcid":"https://orcid.org/0000-0003-4215-967X","observed_orcids":["https://orcid.org/0000-0003-4215-967X"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Claus Schneider","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5113821446","display_name":"Emre F. Yekebas","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Emre F Yekebas","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"last","author":{"id":"https://openalex.org/A5039983309","display_name":"Jakob Robert Izbicki","orcid":"https://orcid.org/0000-0001-6807-8224","observed_orcids":["https://orcid.org/0000-0001-6807-8224"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Jakob R Izbicki","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":1.5512,"has_fulltext":false,"cited_by_count":24,"citation_normalized_percentile":{"value":0.82588827,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":98},"biblio":{"volume":"26","issue":"1B","first_page":"681","last_page":"6"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10231","display_name":"Pancreatic and Hepatic Oncology Research","score":0.9984999895095825,"subfield":{"id":"https://openalex.org/subfields/2730","display_name":"Oncology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10231","display_name":"Pancreatic and Hepatic Oncology Research","score":0.9984999895095825,"subfield":{"id":"https://openalex.org/subfields/2730","display_name":"Oncology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10760","display_name":"Pancreatitis Pathology and Treatment","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10177","display_name":"Palliative Care and End-of-Life Issues","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/pancreatic-ductal-adenocarcinoma","display_name":"pancreatic ductal adenocarcinoma","score":0.9110000133514404},{"id":"https://openalex.org/keywords/advanced-pancreatic-cancer","display_name":"advanced pancreatic cancer","score":0.8690000176429749},{"id":"https://openalex.org/keywords/metastatic-pancreatic-cancer","display_name":"metastatic pancreatic cancer","score":0.9490000009536743},{"id":"https://openalex.org/keywords/vascular-invasion","display_name":"vascular invasion","score":0.7699999809265137},{"id":"https://openalex.org/keywords/exploratory-laparotomy","display_name":"exploratory laparotomy","score":0.9599999785423279},{"id":"https://openalex.org/keywords/resectability","display_name":"resectability","score":0.800000011920929},{"id":"https://openalex.org/keywords/r0-resection","display_name":"R0 resection","score":0.6830000281333923},{"id":"https://openalex.org/keywords/en-bloc-resection","display_name":"en bloc resection","score":0.7699999809265137},{"id":"https://openalex.org/keywords/portal-vein-reconstruction","display_name":"portal vein reconstruction","score":0.7699999809265137},{"id":"https://openalex.org/keywords/liver-metastases","display_name":"liver metastasis","score":0.8849999904632568},{"id":"https://openalex.org/keywords/palliative-surgery","display_name":"palliative surgery","score":0.7559999823570251},{"id":"https://openalex.org/keywords/bilioenteric-anastomosis","display_name":"biliary-enteric anastomosis","score":0.7799999713897705},{"id":"https://openalex.org/keywords/gastroenterostomy","display_name":"gastroenterostomy","score":0.7549999952316284},{"id":"https://openalex.org/keywords/pain-management","display_name":"pain management","score":0.8009999990463257},{"id":"https://openalex.org/keywords/endoscopic-thoracic-sympathectomy","display_name":"thoracoscopic sympathectomy","score":0.9959999918937683},{"id":"https://openalex.org/keywords/quality-of-life","display_name":"quality of life","score":0.5899999737739563}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9251629114151001},{"id":"https://openalex.org/C2778966966","wikidata":"https://www.wikidata.org/wiki/Q5421351","display_name":"Exploratory laparotomy","level":2,"score":0.7500317096710205},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.5806792378425598},{"id":"https://openalex.org/C2780210213","wikidata":"https://www.wikidata.org/wiki/Q212961","display_name":"Pancreatic cancer","level":3,"score":0.5332365036010742},{"id":"https://openalex.org/C2994186709","wikidata":"https://www.wikidata.org/wiki/Q29483","display_name":"Palliative care","level":2,"score":0.5002760887145996},{"id":"https://openalex.org/C2780778865","wikidata":"https://www.wikidata.org/wiki/Q1130374","display_name":"Laparotomy","level":2,"score":0.47644951939582825},{"id":"https://openalex.org/C8443397","wikidata":"https://www.wikidata.org/wiki/Q15177","display_name":"Anastomosis","level":2,"score":0.4568822979927063},{"id":"https://openalex.org/C126838900","wikidata":"https://www.wikidata.org/wiki/Q77604","display_name":"Radiology","level":1,"score":0.4341110289096832},{"id":"https://openalex.org/C121608353","wikidata":"https://www.wikidata.org/wiki/Q12078","display_name":"Cancer","level":2,"score":0.2973625361919403},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.0},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009362","descriptor_name":"Neoplasm Metastasis","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009362","descriptor_name":"Neoplasm Metastasis","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009362","descriptor_name":"Neoplasm Metastasis","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010166","descriptor_name":"Palliative Care","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":false},{"descriptor_ui":"D010166","descriptor_name":"Palliative Care","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":false},{"descriptor_ui":"D010166","descriptor_name":"Palliative Care","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":false},{"descriptor_ui":"D010166","descriptor_name":"Palliative Care","qualifier_ui":"Q000639","qualifier_name":"trends","is_major_topic":false},{"descriptor_ui":"D010166","descriptor_name":"Palliative Care","qualifier_ui":"Q000639","qualifier_name":"trends","is_major_topic":false},{"descriptor_ui":"D010166","descriptor_name":"Palliative Care","qualifier_ui":"Q000639","qualifier_name":"trends","is_major_topic":false},{"descriptor_ui":"D010190","descriptor_name":"Pancreatic Neoplasms","qualifier_ui":"Q000473","qualifier_name":"pathology","is_major_topic":false},{"descriptor_ui":"D010190","descriptor_name":"Pancreatic Neoplasms","qualifier_ui":"Q000473","qualifier_name":"pathology","is_major_topic":false},{"descriptor_ui":"D010190","descriptor_name":"Pancreatic Neoplasms","qualifier_ui":"Q000473","qualifier_name":"pathology","is_major_topic":false},{"descriptor_ui":"D010190","descriptor_name":"Pancreatic Neoplasms","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":false},{"descriptor_ui":"D010190","descriptor_name":"Pancreatic Neoplasms","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":false},{"descriptor_ui":"D010190","descriptor_name":"Pancreatic Neoplasms","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":false},{"descriptor_ui":"D021441","descriptor_name":"Carcinoma, Pancreatic Ductal","qualifier_ui":"Q000473","qualifier_name":"pathology","is_major_topic":false},{"descriptor_ui":"D021441","descriptor_name":"Carcinoma, Pancreatic Ductal","qualifier_ui":"Q000473","qualifier_name":"pathology","is_major_topic":false},{"descriptor_ui":"D021441","descriptor_name":"Carcinoma, Pancreatic Ductal","qualifier_ui":"Q000473","qualifier_name":"pathology","is_major_topic":false},{"descriptor_ui":"D021441","descriptor_name":"Carcinoma, Pancreatic Ductal","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":false},{"descriptor_ui":"D021441","descriptor_name":"Carcinoma, Pancreatic Ductal","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":false},{"descriptor_ui":"D021441","descriptor_name":"Carcinoma, Pancreatic Ductal","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":false}],"locations_count":2,"locations":[{"id":"pmid:16739338","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/16739338","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Anticancer research","raw_type":"Journal Article"},{"id":"mag:2139646491","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/16739338","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":"PubMed","raw_type":null}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.9922999739646912}],"sustainable_development_goals_aurora":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.8700000047683716}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":34,"referenced_works":["https://openalex.org/W265132635","https://openalex.org/W1579838551","https://openalex.org/W1606503260","https://openalex.org/W1965755665","https://openalex.org/W1966818588","https://openalex.org/W1970243664","https://openalex.org/W1975004250","https://openalex.org/W1979714393","https://openalex.org/W1982353019","https://openalex.org/W1992039182","https://openalex.org/W1999404209","https://openalex.org/W2000424590","https://openalex.org/W2009547048","https://openalex.org/W2011419475","https://openalex.org/W2015083350","https://openalex.org/W2027451548","https://openalex.org/W2029226212","https://openalex.org/W2030207748","https://openalex.org/W2039102412","https://openalex.org/W2040693082","https://openalex.org/W2046133119","https://openalex.org/W2047318784","https://openalex.org/W2056235514","https://openalex.org/W2069983916","https://openalex.org/W2097134415","https://openalex.org/W2117954462","https://openalex.org/W2137009991","https://openalex.org/W2161591608","https://openalex.org/W2171868485","https://openalex.org/W2222522476","https://openalex.org/W2246496424","https://openalex.org/W2413543454","https://openalex.org/W2415825734","https://openalex.org/W2468798986"],"related_works":[],"abstract_inverted_index":{"Advanced":[0],"disease,":[1],"defined":[2],"as":[3,220,296],"vascular":[4,52,63,71,119],"invasion":[5,7,53],"or":[6,49,77,110,154,179,200,212],"into":[8],"adjacent":[9],"organs,":[10],"in":[11,66,121,149,158,245,263,290,307],"pancreatic":[12],"ductal":[13],"adenocarcinoma":[14],"still":[15,318],"remains":[16],"a":[17,81,85,188,280,297,308],"major":[18],"diagnostic":[19],"and":[20,193,229,266],"therapeutic":[21],"challenge.":[22],"In":[23,124],"most":[24,122],"cases,":[25],"only":[26,130],"exploratory":[27,170],"laparotomy":[28,82],"will":[29,92],"ultimately":[30],"ensure":[31],"surgical":[32,97,172],"resectibility.":[33],"A":[34],"physician":[35],"is":[36,54,80,88,133,217,234,255,324],"ill-advised":[37],"to":[38,56,187,221,327],"make":[39],"any":[40],"decision":[41],"regarding":[42],"palliation":[43,141,173],"relying":[44],"on":[45,239],"CT-scan,":[46],"MRI,":[47],"ultrasonography":[48],"angiography,":[50],"since":[51,181,252,322],"difficult":[55],"diagnose":[57],"because":[58],"of":[59,69,73,106,127,152,161,231,248,276],"peritumoral":[60],"pancreatitis":[61],"mimicking":[62],"invasion.":[64],"Only":[65],"the":[67,74,90,107,111,125,150,159,225,240,246,284,313],"case":[68,160],"complete":[70],"encasement":[72],"mesenterico-portal":[75],"axis":[76],"celiac":[78],"trunk":[79],"unnecessary.":[83],"If":[84,135,165],"T3":[86],"lesion":[87],"present,":[89],"patient":[91],"benefit":[93],"greatly":[94],"from":[95],"R0":[96],"resection,":[98],"even":[99,244],"if":[100],"this":[101,253],"includes":[102],"en":[103],"bloc":[104],"resections":[105],"transverse":[108],"colon,":[109],"portal":[112],"vein,":[113],"which":[114,222,291],"can":[115,204],"be":[116,175,205,305,319],"reconstructed":[117],"without":[118],"grafting":[120],"cases.":[123],"presence":[126,151],"distant":[128],"metastases":[129,137,166],"palliative":[131,241,314],"treatment":[132],"useful.":[134],"liver":[136,250],"are":[138,167,194,287],"identified":[139],"pre-operatively,":[140],"should":[142,174,304,317],"include":[143],"endoscopic":[144,155,163],"common":[145],"bile":[146],"duct":[147],"stenting":[148,157],"icterus,":[153],"duodenal":[156],"percutaneous":[162],"gastrostomy.":[164],"found":[168],"during":[169],"laparotomy,":[171],"considered":[176,320],"(bilio-digestive":[177],"anastomosis":[178],"gastro-enterostomy),":[180],"these":[182],"procedures":[183],"do":[184],"not":[185,195,325],"lead":[186],"significantly":[189,328],"longer":[190],"hospital":[191],"stay":[192],"associated":[196,256],"with":[197,257,283],"significant":[198],"morbidity":[199],"mortality.":[201],"Pain":[202],"control":[203,228],"ensured":[206],"using":[207],"morphine":[208],"analogs,":[209],"CT-guided":[210],"sympathectomy":[211],"thoracoscopic":[213],"sympathectomy.":[214],"Currently,":[215],"there":[216],"no":[218,288],"answer":[219],"option":[223],"offers":[224],"best":[226],"pain":[227,269],"quality":[230],"life.":[232],"There":[233,286],"also":[235],"an":[236,273],"ongoing":[237],"debate":[238],"Whipple's":[242,315],"procedure,":[243],"event":[247],"single":[249],"metastases,":[251],"procedure":[254,299],"limited":[258],"mortality":[259],"(well":[260],"below":[261],"5%":[262],"high-volume":[264],"centers)":[265],"ensures":[267],"excellent":[268],"control.":[270],"This":[271,302],"needs":[272],"individual":[274],"assessment":[275],"risk":[277],"and,":[278],"furthermore,":[279],"detailed":[281],"discussion":[282],"patient.":[285],"studies":[289],"resection":[292],"has":[293],"been":[294],"performed":[295],"standard":[298],"for":[300],"palliation.":[301],"question":[303],"answered":[306],"multicenter":[309],"randomized":[310],"trial,":[311],"otherwise":[312],"operation":[316],"experimental,":[321],"it":[323],"likely":[326],"prolong":[329],"survival.":[330]},"counts_by_year":[{"year":2023,"cited_by_count":1},{"year":2022,"cited_by_count":1},{"year":2020,"cited_by_count":2},{"year":2016,"cited_by_count":1},{"year":2015,"cited_by_count":1},{"year":2014,"cited_by_count":4},{"year":2012,"cited_by_count":2}],"updated_date":"2026-09-22T06:50:58.402377","created_date":"2025-10-10T00:00:00"}
