Daniel Pinďák, Miroslav Tomáš, Štefan Pörsök, Jozef Dolník
Surgical therapy of pancreatic cancer almost has not changed during last years. The most important changes were made
2-3 decades ago when through the improvement of surgical techniques as well as postoperative care, decreased morbidity
and mortality which is now less than 3 % have been achieved. Despite these improvements, the overall survival (OS)
of resected patients is still very bad, with median OS about 20 months. Improvements in these alarming data are expected
from the prevention, early diagnosis and the use of multimodal approach in curative treatment strategies. In this article,
the main principles of curative surgery and current strategies for the use of multimodal approach are summarised.