Authors describe all limiting factors influencing resectability of pancreatic carcinoma: invasion to the large vessels, lymphnode involvement and diffuse intrapancreatic tumor spread. Described is how to solve vascular involvement, how and why to perform radical lymphadenectomy and necessity of perioperative histological examination of resection border. On the group of 21 patients with pancreatic resection for carcinoma authors compare their results and experience with procedures recommended in literature.