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001 https://directory.doabooks.org/handle/20.500.12854/70493
020 _aintechopen.75737
024 7 _a10.5772/intechopen.75737
_cdoi
041 0 _aEnglish
042 _adc
072 7 _aMB
_2bicssc
100 1 _aHolzgang, Melanie
_4auth
700 1 _aEigl, Benjamin
_4auth
700 1 _aErdem, Suna
_4auth
700 1 _aGloor, Beat
_4auth
700 1 _aWorni, Mathias
_4auth
245 1 0 _aChapter Irreversible electroporation in pancreatic cancer
260 _bInTechOpen
_c2018
506 0 _aOpen Access
_2star
_fUnrestricted online access
520 _aPancreatic cancer is the deadliest of the gastrointestinal tract with 5-year survival rates of less than 5%. Given common asymptomatic early disease course, most patients (50%) present with an already metastatic disease, while only 20% can undergo potentially curative resection. The remaining 30% present with locally advanced disease, defined as extended vascular encasement, where the risk of surgical therapy often outweighs its benefits. Traditional thermal local ablative modalities (RFA, MWA, or cryotherapy) have the disadvantage that they are not applicable in proximity to vital vascular structures, which are abundant in the peripancreatic region. Irreversible electroporation (IRE) is an emerging non-thermal alternative that induces apoptosis of tumor cells by the delivery of short repetitive impulses of high-voltage electric current. Given its mostly non-thermal modality, IRE is not hampered by a heat-sink effect and is applicable with little risk around vascular structures, bile and pancreatic ducts. Recent research suggests that local tumor destruction through IRE improves overall survival, progression-free survival and quality of life in patients with locally advanced pancreatic cancer.
540 _aCreative Commons
_fhttps://creativecommons.org/licenses/by/3.0/
_2cc
_4https://creativecommons.org/licenses/by/3.0/
546 _aEnglish
650 7 _aMedicine: general issues
_2bicssc
653 _alocally advanced pancreatic cancer, borderline resectable pancreatic cancer, irreversible electroporation, local tumor destruction, apoptosis, overall survival
773 1 0 _0OAPEN Library ID: ONIX_20210602_10.5772/intechopen.75737_373
_7nnaa
856 4 0 _awww.oapen.org
_uhttps://library.oapen.org/bitstream/20.500.12657/49259/1/60217.pdf
_70
_zDOAB: download the publication
856 4 0 _awww.oapen.org
_uhttps://library.oapen.org/bitstream/20.500.12657/49259/1/60217.pdf
_70
_zDOAB: download the publication
856 4 0 _awww.oapen.org
_uhttps://library.oapen.org/bitstream/20.500.12657/49259/1/60217.pdf
_70
_zDOAB: download the publication
856 4 0 _awww.oapen.org
_uhttps://directory.doabooks.org/handle/20.500.12854/70493
_70
_zDOAB: description of the publication
999 _c43584
_d43584