Journal of Surgery Concepts & Practice ›› 2025, Vol. 30 ›› Issue (06): 474-478.doi: 10.16139/j.1007-9610.2025.06.03

• Experts forum • Previous Articles     Next Articles

Reflections on key issues in neoadjuvant therapy for pancreatic cancer: a paradigm shift from evidence-based medicine to precision medicine

KANG Xiaochao, LI Yikai, GUO Shiwei, JIN Gang()   

  1. Department of Hepatobiliary Pancreatic Spleen Surgery, Changhai Hospital, Naval Medical University, Shanghai 200433, China
  • Received:2025-06-27 Online:2025-11-25 Published:2026-01-26
  • Contact: JIN Gang E-mail:jingang@smmu.edu.cn

Abstract:

Neoadjuvant therapy for pancreatic cancer is undergoing a paradigm shift from conventional chemotherapy to precision medicine. This expert forum discussed cutting-edge issues in pancreatic cancer neoadjuvant therapy from an evidence-based perspective, incorporating the latest clinical research advances. We focused on innovative directions including immunotherapy combination strategies, liquid biopsy applications, artificial intelligence (AI)-assisted decision making, and individualized precision medicine. We proposed forward-looking concepts such as molecular subtyping-guided individualized treatment strategies, multi-omics integrated efficacy prediction models, and standardized multidisciplinary collaborative care systems. These innovative concepts will drive pancreatic cancer neoadjuvant therapy toward more precise and effective directions.

Key words: Pancreatic cancer, Neoadjuvant therapy, Precision medicine, Immunotherapy, Liquid biopsy, Artificial intelligence(AI)

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