Intraoperative strategies and techniques to achieve surgical radicality in pancreatic cancer

Summary The treatment of pancreatic cancer presents a challenging task in surgical oncology, demanding innovative approaches to achieve radical resection and improve patient outcomes. This article provides an overview of state-of-the-art surgical principles and techniques for achieving surgical radicality in localized pancreatic cancer, with a particular emphasis on artery-first approaches, the triangle operation, arterial and venous dissection techniques, including arterial divestment, and the significance of R0 resections with complete lymphadenectomy. By applying these techniques and principles of surgical radicality, surgeons are able to enhance resectability, minimize complications, and potentially extend patient survival in the rapidly evolving field of multimodal pancreatic cancer management.