In 2012, Sasha Muller from Switzerland published a review article in the Recent Results in Cancer Research * (Please click on the * for references) on the bird's eye view of developments in pancreatic cancer surgery. We want our reader to recognise that the fact that surgery is the mainstay of curative treatment in pancreatic cancer, while at the same time recognise the limits of such an unimodal approach. In a country with accessible health for most of the population, 4 0% of patients with resectable disease were not offered surgery * . We do not have similar statistics with regard to the situation in India, but we believe that situation may be worse from additional factors like affordability . At best, the 5 year probability of surviving pancreatic cancer remains at a dismal 10% * . The fact that the survival has reached double digits has been a source of joy for the pancreatic surgical community. If we look at the SEER database 1998 - 2003, the drop in the proporti...
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