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Whipple Procedure in Bhubaneswar

Whipple Procedure

Whipple Procedure in Bhubaneswar

The Whipple Procedure is one of the treatment approaches used to treat pancreatic cancer that has not spread yet. This is a complex surgery used for removing tumours from the head of the pancreas. Also called Pancreaticoduodenectomy, it can even be used for chronic pancreatitis and other types of cancer. Along with the head of the pancreas, part of the bile duct, duodenum (the first part of the small intestine), gallbladder, or a portion of the stomach may also be removed, depending on the requirement. There has been a lot of advancement in the surgical gastrology field, so this procedure can be carried out through open, laparoscopic, or robotic methods. It will be decided based on your condition to provide maximum benefits.

This is a major and complex surgical intervention, which is a life-saving procedure. Thus, Manipal Hospitals, Bhubaneswar, has a skilled surgical team that focuses on providing enhanced benefits to patients by minimising risks and extending their survival. Our team for Whipple procedure in Bhubaneswar ensure long-term success by providing comprehensive post-operative care with ongoing follow-up care to optimise treatment outcomes, avoid recurrence, and enhance recovery. 

 

Experience world-class healthcare at Manipal Hospitals. Our expert team of doctors and state-of-the-art facilities ensure personalized and advanced treatments. Take the first step towards wellness. Book an appointment today.

FAQ's

Whipple Procedure is sometimes the only solution for pancreatic cancer and other conditions to extend a patient’s survival. However, the doctor may recommend it to treat various conditions, such as:

  • Pancreatic cancer
  • Pancreatic cysts
  • Pancreatic tumour
  • Pancreatitis
  • Ampullary cancer
  • Bile duct cancer (cholangiocarcinoma)
  • Small bowel cancer (small intestine)
  • Trauma to the small intestine or pancreas
  • Neuroendocrine tumours

Other conditions affecting the pancreas, duodenum, or bile ducts

The Whipple Procedure can be done in three ways:

  • Open Surgery: This technique was commonly used before, but with new and advanced techniques, it is now used in cases where this surgery is the only solution. In this, the surgeon makes a big incision through the belly to reach the pancreas. Though the recovery time is longer, depending on the condition, sometimes Open Surgery is the only option. 
  • Laparoscopic Surgery: This is a minimally invasive surgery in which the surgeon makes smaller cuts in the belly for the insertion of specialised tools. A thin tube with a camera attached is inserted to examine the inside area on a monitor by the surgeon, who also guides the surgical tools in doing the procedure. The recovery time is quicker, and there are fewer complications.
  • Robotic Surgery: This is also a minimally invasive procedure in which a surgical robot is used for the procedure. This is perfect for removing tumours that are in tight spaces, as surgical tools can easily reach these areas, and it offers greater precision.

This is a complex surgery performed in a hospital by an experienced team of doctors and nurses comprising anaesthesiologists, anaesthetists, and gastro surgeons.  
 

  • In the case of pancreatic cancer, you may have to undergo Radiation Therapy or Chemotherapy before the surgery.
  • Your surgeon will instruct you to stop taking certain medications some days before the surgery. 
  • Avoid eating or drinking anything for at least eight hours before going to the hospital or as directed otherwise.
  • Quit smoking before the Whipple procedure to improve your heart and lung health.
  • Stop taking herbal supplements for one to two weeks before the surgery, as directed by your healthcare provider.
  • Avoid taking Viagra® or other medications for erectile dysfunction at least 24 hours before the procedure.
  • You will be allowed to take certain medications (blood pressure medications) with a sip of water, as instructed by your provider.
  • After you reach the hospital, you will be asked to change into a surgical gown.
  • The nurse will insert an intravenous line (IV) into your arm to inject fluids and medications needed during the surgery.
  • An epidural catheter or spinal injection may be necessary to block your nerves and help decrease pain after the surgery.
     
  • The surgery may take 4–12 hours as it is a complicated procedure and is done under general anaesthesia.
  • An incision will be made in your abdomen (size depends on whether it's an Open or Laparoscopic Surgery).
  • Your surgeon will remove the head portion of your pancreas, where the tumour is located, along with the small bowel surrounding it (the duodenum), the lower section of the bile duct, the gallbladder, and sometimes a part of your stomach or nearby lymph nodes.
  • The remaining parts of your pancreas and bile duct will be attached to your small intestine.
  • The small intestine will be reattached to your stomach, ensuring that food can pass freely through the entire digestive tract.
     
  • As it is a major surgery, you will have to spend at least a week in the hospital. The length of your stay depends on how your recovery progresses.
  • After the surgery, you will be moved to a hospital room to begin recovery. 
  • You will be monitored several times a day for signs of infection or other complications.
  • As your digestive system recovers, you'll likely start with clear liquids, and foods will be added to your diet gradually. Most people can get up and walk soon after the operation.
  • Some patients may need to spend a few days in the intensive care unit (ICU) right after surgery for close monitoring by doctors and nurses to watch for signs of complications, especially if they have certain medical conditions.
  • You will be discharged when the doctor feels you are fit to go home. Post-operative care instructions will be shared, and you will need to come back for observation and follow-up visits.
     

As it is a major surgery, the recovery will take time. If there are no complications, you can resume normal activities 4-6 weeks after the procedure. Make sure to follow all post-operative instructions regarding your diet and medications for a faster recovery.
 

The Whipple Procedure increases the chance of long-term survival for patients with pancreatic cancer by almost 25%. It is sometimes the only cure and hope for these patients. The success of this procedure will depend on the stage and location of the cancer and your overall health. 
 

The Whipple Procedure can lead to various complications, such as:

  • Bleeding
  • Infection (inside the belly or at the operation site)
  • Bowel leakage or problems
  • Problems with the fistulas
  • Diabetes (temporary or permanent)
  • Weight loss
  • Difficulty digesting some foods
  • Leakage from operating organs
  • Constipation

Our surgeons are experienced and skilled in performing these procedures with precision, thereby reducing the associated risks.
 

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