Abstract

Pancreatic cancer is characterized by a high mortality rate and often presents at an advanced stage, complicating treatment decisions. Surgical intervention plays a critical role in managing this disease, ranging from potentially curative resection to palliative procedures aimed at alleviating symptoms and improving quality of life. This paper provides a comprehensive overview of the spectrum of surgical interventions available for pancreatic cancer, highlighting the criteria for curative resection, including Whipple procedure and distal pancreatectomy, as well as the indications for palliative surgeries such as biliary bypass and gastroduodenal stenting. We discuss the clinical considerations involved in surgical decision-making, including tumor staging, patient comorbidities, and overall prognosis. Additionally, we explore the psychological and emotional implications of surgical choices for patients and their families, particularly when facing end-of-life care. Through a multidisciplinary approach, the integration of surgical strategies with oncologic therapies and supportive care can enhance patient outcomes and quality of life.