Pancreatoduodenectomy

Pancreatoduodenectomy is a major surgical operation most commonly performed to treat cancerous tumours of the pancreas or duodenum. It is also used to treat other conditions such as chronic pancreatitis and trauma to the pancreas or duodenum.

Procedure

The pancreatoduodenectomy, also known as the Whipple procedure, involves the removal of the "head" (wide part) of the pancreas next to the duodenum. The duodenum, a portion of the common bile duct, the gallbladder, and sometimes part of the stomach are also removed. After these are removed, the remaining organs are reattached in a new way to allow digestion.

Indications

The most common reason for performing a pancreatoduodenectomy is a malignant tumour of the head of the pancreas. Other indications include malignant tumours of the lower bile duct, duodenum, or ampulla of Vater, as well as certain benign conditions and traumas.

Risks and Complications

Like all major surgeries, pancreatoduodenectomy carries risks, including infection, bleeding, and leakage from the reconnected bowel. Long-term complications can include diabetes, digestive problems, and malnutrition.

Recovery

Recovery from a pancreatoduodenectomy can take a long time. Most patients stay in the hospital for one to two weeks after the surgery. Full recovery can take several months.

See Also

• Pancreatic cancer
• Duodenal cancer
• Chronic pancreatitis
• Whipple procedure

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