Pancreatic cancer in sub-Saharan Africa is largely diagnosed in advanced stages, severely affecting surgical outcomes.

• Over 80% of patients present with advanced or metastatic disease, limiting curative interventions.
• Surgical resections occur in less than 10% of cases, with palliative bypass as the primary procedure.

Improving outcomes hinges on addressing healthcare disparities and investing in infrastructure and training.

• Diagnostic imaging is often not available, and opioid access remains below 50% in many centers.