Content area
Full Text
J Gastrointest Surg (2014) 18:13851390
DOI 10.1007/s11605-014-2554-9
PANCREAS CLUB
Proceedings of the 48th Annual Pancreas Club Meeting
Marshall S. Baker & Nicholas J. Zyromski
Received: 5 May 2014 /Accepted: 21 May 2014 /Published online: 11 June 2014
# 2014 The Society for Surgery of the Alimentary Tract
Abstract The 48th annual Pancreas Club meeting was held on May 2 and 3, 2014, at the Westin Lombard in Lombard, IL. Two hundred sixty attendees included pancreatologists from 17 countries. Two hundred eleven abstracts were submitted; from these, a record number (64) oral presentations and 136 posters were selected. Table 1 documents oral abstract titles with institutional affiliation. Full abstracts for all oral presentations and posters are available at the Pancreas Club website, http://pancreasclub.com/
Web End =http://pancreasclub.com . Representative abstracts from each of the eight sessions are summarized below.
Keywords Pancreas Club . Pancreatitis . Pancreatic cancer
Scientific Session I: Included Two Topics, Borderline Resectable Pancreatic Cancer and Neoadjuvant Chemotherapy/Radiation Therapy
Topics discussed in this session included cost of diagnostic laparoscopy, incidence of venous thromboembolism during neoadjuvant chemotherapy, effect of neoadjuvant treatment on body composition (sarcopenia), role of extended lymph node dissection, and effect of microscopic positive resection margins on survival. The MD Anderson group presented National Surgical Quality Improvement Project (NSQIP) Pancreatectomy Demonstration Project data comparing outcomes from patients with and without neoadjuvant treatment. Only 13 % of the 1,567 patients captured in NSQIP between November 2011 and December 2012 received neoadjuvant treatment. The major finding from this analysis was that despite requiring more lengthy and complex operations (including
more vascular resection) in the neoadjuvant treatment group,
no increased morbidity or mortality was observed.
Scientific Session II: Minimally Invasive
Techniques/Screening for Cancer
Data from the NSQIP Pancreatectomy Demonstration Project were used to evaluate outcomes of minimally invasive pancreatoduodenectomy (PD) compared to open PD. These data documented significantly increased morbidity and mortality in the minimally invasive group. Vigorous discussion centered on appropriate application of the technique and training paradigms. Data from the Mayo Clinic demonstrated oncologic equivalence of laparoscopic and open PD. Two papers addressed screening techniques: magnetic resonance imaging in a cohort of patients at high risk for developing pancreatic ductal adenocarcinoma (PDAC) and an exciting proof of principle study showing feasibility of functional imaging...