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The Whipple procedure, or Pancreaticoduodenectomy, is a complex and potentially life-saving surgery used primarily to treat pancreatic cancer. This operation involves removing the head of the pancreas, part of the small intestine (duodenum), the gallbladder, and sometimes part of the stomach. It is also effective for conditions such as pancreatic cysts, tumours, pancreatitis, ampullary cancer, bile duct cancer, neuroendocrine tumours, and complications in the pancreas, duodenum, or bile ducts.
At Manipal Hospitals, Broadway, our Department of Gastroenterology is renowned for its expertise in performing the Whipple procedure. Our skilled surgeons use advanced techniques, including minimally invasive laparoscopic and robotic-assisted surgery, to reduce complications, shorten recovery times, and enhance patient outcomes. Despite its complexity and associated risks, the Whipple procedure in Broadway can significantly improve survival and quality of life.
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During the initial consultation for the Whipple procedure, your doctor will review your medical history, perform a physical examination, and discuss the surgery details with you. They will also assess your suitability for the procedure by reviewing imaging studies such as CT scans, MRIs, or PET scans, and conducting preoperative tests, including blood tests and evaluations of heart and lung function. These steps help ensure the surgery is planned with precision and that you are fit for the procedure.
On the day of your Whipple procedure, arrive at the hospital well before your scheduled time. You will receive detailed instructions on when to stop eating and drinking, which is crucial for the smooth execution of the surgery. A final assessment by the anaesthesia and surgical teams will take place before you are taken to the operating room.
To manage pre-surgery anxiety, discuss any concerns with your surgical team. They can provide reassurance and support to help ease your stress.
The Whipple procedure involves several key steps:
Incision: A large incision is made in the abdomen, or multiple small incisions are used if the procedure is laparoscopic.
Resection: The surgeon removes the head of the pancreas, part of the small intestine (duodenum), the lower part of the bile duct, the gallbladder, and sometimes a portion of the stomach.
Reconstruction: The remaining part of the pancreas and bile duct are connected to the small intestine.
Digestive System Reattachment: The small intestine is reattached to the stomach to ensure that food can pass through the entire digestive tract.
The Whipple procedure typically takes between 4 to 8 hours to complete. The exact duration depends on several factors, including the complexity of the case, the extent of the disease, and whether traditional or minimally invasive surgical techniques are used. Your surgical team will provide a more precise estimate based on your situation.
Hospital Stay: Expect to stay in the hospital for 1 to 2 weeks.
Initial Home Recovery: You will need several weeks at home to heal. Manage pain, follow a special diet, and gradually resume normal activities.
Diet: Start with a special diet and slowly reintroduce regular foods as advised by your nutritionist.
Physical Activity: Begin with a light activity like walking. Your doctor will guide you on when to increase activity.
Follow-Up: Attend regular follow-up appointments to monitor your progress and address any concerns.
Watch for Complications: Contact your doctor if you experience any unusual symptoms.
Recovery times can vary based on individual health and the complexity of the surgery.
Complications are relatively common after a Whipple procedure due to the surgery's complexity. Typical issues include infections, bleeding, digestive problems, and wound-healing difficulties. The risk varies based on factors such as overall health and the extent of the disease. Your surgical team will closely monitor your recovery, conduct regular check-ups, and provide guidance to manage any complications. Most patients recover successfully with proper care and follow-up, but it's important to contact your healthcare provider if you notice any unusual symptoms or worsening conditions.
Lifestyle changes may include adjustments to your diet, and activity levels, and regular monitoring of your health. Following your healthcare team’s advice will help optimise your recovery and overall well-being.
Travel may be possible once you are well enough and have received clearance from your healthcare provider. It’s important to discuss travel plans with your doctor and follow any specific guidelines to ensure a safe trip during your recovery.
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