PANCREATIC SURGERY - CANCER, CHRONIC PANCREATITIS, ACUTE PANCREATITIS, INNOVATIVE SURGICAL METHODS

Aleksandra Romanowska; Paweł Arkadiusz Malmur; Weronika Biaduń-Mućko; Kinga Rogowska-Borettini; Maria Wysieńska; Piotr Jóźwiak; Adam Rybak

doi:10.31435/ijitss.2(50).2026.5316

Authors

Aleksandra Romanowska St. Anne's Hospital in Miechów, Miechów, Poland https://orcid.org/0009-0001-9829-2659
Paweł Arkadiusz Malmur St. Anne's Hospital in Miechów, Miechów, Poland https://orcid.org/0009-0005-5893-0299
Weronika Biaduń-Mućko Specialist Hospital Dr. Tytus Chałubiński, Radom, Poland https://orcid.org/0009-0009-2650-5991
Kinga Rogowska-Borettini University Clinical Hospital No. 2 of the Medical University of Lodz, Lodz, Poland https://orcid.org/0009-0003-7987-6477
Maria Wysieńska Mazowiecki Hospital sp. z.o.o, Radom, Poland https://orcid.org/0009-0005-0876-2776
Piotr Jóźwiak Specialist Hospital Dr. Tytus Chałubiński, Radom, Poland https://orcid.org/0009-0003-3563-7618
Adam Rybak Specialist Hospital Dr. Tytus Chałubiński, Radom, Poland https://orcid.org/0009-0005-7605-1335

DOI:

https://doi.org/10.31435/ijitss.2(50).2026.5316

Keywords:

Pancreatic Surgery, Pancreatic Cancer, Chronic Pancreatitis, Acute Pancreatitis, Pancreaticoduodenectomy, Distal Pancreatectomy, Minimally Invasive Surgery, Robotic Surgery, Irreversible Electroporation, Mesopancreas, Postoperative Complications

Abstract

Pancreatic surgery is one of the most technically demanding fields of abdominal surgery due to the complex anatomy of the pancreas and its proximity to major vascular structures. Pancreatic cancer, often diagnosed at an advanced stage, carries a poor prognosis, and surgical resection combined with systemic therapy remains the only potentially curative option for a limited group of patients. Postoperative complications remain common despite advances in perioperative care.

Chronic pancreatitis leads to irreversible structural damage and severe pain, frequently requiring surgical intervention tailored to morphological changes. In acute pancreatitis, management focuses on early severity assessment, intensive supportive therapy, and minimally invasive treatment of complications. Ongoing development of modern techniques—including minimally invasive, robotic, and ablative procedures—has contributed to gradual improvement in outcomes and reduction of postoperative morbidity.

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