Pancreatic Surgery: Innovations in Resection, Reconstruction, and Perioperative Management

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A comprehensive review of advances in the surgical management of pancreatic disease, this chapter covers technical refinements in pancreaticoduodenectomy, distal pancreatectomy, and total pancreatectomy with islet autotransplantation, alongside management of postoperative pancreatic fistula and delayed gastric emptying. It evaluates the evidence for neoadjuvant therapy in borderline resectable and locally advanced pancreatic adenocarcinoma, the role of minimally invasive pancreatectomy, and novel intraoperative adjuncts including fluorescence-guided resection and augmented reality-assisted navigation.

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