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Pancreatic surgeries Whipples Procedure in Dhakuria

Pancreatic Surgeries and Whipple Procedure

Whipples Procedure in Dhakuria

A Pancreatectomy is a surgical procedure that involves removing the entire or a portion of the pancreas. Usually, it's used to treat cancer, though it is occasionally used to treat severe chronic pancreatitis. Your digestive system may suffer permanent effects if the whole or a portion of your pancreas is removed. You might now need to take digestive enzyme supplements along with insulin. 

Pancreatic cancer has one of the worst prognoses among common cancers. Considering that pancreatic cancer frequently develops and spreads before any symptoms appear and the disease is detected, the primary surgical treatment for treating tumours in the pancreatic head is a Whipple Procedure. Also known as a Pancreaticoduodenectomy. The Whipple Procedure might be the only method to prolong your life and possibly heal you if you have cancer in your pancreas or other adjacent organs. In certain instances, your surgeon might remove the pancreatic body, the duodenum, and a segment of the stomach. It takes approximately six hours to finish the surgery. After undergoing the Whipple Procedure, the majority of patients remain in the hospital for one to two weeks. Manipal Hospitals is the best Hospital for Pancreatic Cancer Treatment in Dhakuria

FAQ's

There are various reasons why pancreatic surgery might be required:

  • Cancer Treatment: When treating primary pancreatic cancer, Pancreatectomy surgery is the best option since it removes malignant tumours and offers the best chance of recovery

  • Cancer Prevention: Pancreatic cysts are surgically removed while taking growth and size into consideration to stop the spread of cancer

  • Enhance quality of life: By removing the entire or a portion of the pancreas, surgery can significantly reduce the severe pain associated with chronic pancreatitis and improve quality of life

Depending on where the tumour is located in the pancreas, several surgical techniques are used:

  • The Whipple Procedure (Duodenectomy and pancreas)

  • Distal Pancreatectomy

  • Total Pancreatectomy

Your surgeon will evaluate whether the tumour is surgically removable based on various factors, including: 

  • The tumour's size and location in the pancreas

  • If the disease has spread to the tissues around the pancreas or if any lymph nodes are involved

  • Whether cancer has migrated to any other parts of the body

  • Your overall health and degree of fitness

  • If it has grown into the major blood vessels in or surrounding the pancreas

The goal of palliative procedures is to reduce or eliminate symptoms. They don't entail the tumour's total removal. Palliative care techniques may reduce symptoms of jaundice, pain, nausea, and vomiting that arise from obstructions in the duodenum or bile duct. Gastric Bypass Surgery, Biliary or Duodenal Stent Implantation, and Biliary Bypass Surgery are the most commonly performed palliative therapies for pancreatic cancer.

  • Biliary Bypass Surgery: If a tumour is obstructing the common bile duct, Biliary Bypass Surgery can reroute the flow of bile around the tumour. Additionally, it could reduce jaundice

  • Gastric Bypass Surgery: Surgery to remove the tumour from the duodenum so that food can bypass through the stomach is known as Gastric Bypass Surgery

  • Positioning a Stent: A stent is a tiny metal or plastic tube that aids in making the duodenum, pancreatic duct, or bile duct accessible. Instead of undergoing Bypass Surgery, Stent Implantation may be used to relieve blockages in certain regions

Your surgeon will most likely perform a Whipple operation because of pancreatic cancer. But this procedure can also be required for:

  • Pancreatic cysts

  • Pancreatitis

  • Small intestine cancer

  • Injury to the small intestine or pancreas

  • Carcinoma of the ampulla

  • Carcinoma of the bile ducts

  • Tumours of the neuroendocrine system

The Pancreatoduodenectomy, often known as the Whipple Procedure, aims to remove the organ's head. Due to the close integration of the pancreas with other organs, the surgeon also needs to remove the gallbladder, the end of the common bile duct, the duodenum, and occasionally a section of the stomach. The intestine, bile duct, and remaining pieces of the pancreas are reconnected during the reconstruction phase of the procedure. Most commonly, surgeons employ a laparoscopic technique to perform Whipple's Procedure.

During Laparoscopic Whipple surgery, small abdominal wall incisions are made to perform the procedure. Through a single incision, a laparoscope, a long, thin tube with a lit camera at its tip, is inserted. During laparoscopic surgery, the surgeon uses specialised surgical tools and inserts them through small incisions while being guided by images from a laparoscope on a monitor in the operating room. On the other hand, for traditional procedures, an extended abdominal incision and a broader abdominal hole are necessary. By using laparoscopic techniques, surgeons can generally minimise blood loss and lower the patient's risk of infection. 

Up to one-third of patients undergoing the Whipple operation have the following side effects:

  • Diabetes could be long-term or short-term

  • Complications with the fistulas

  • Bowel spillage

  • Leakage coming from the injured organs

  • Bleeding

  • Infection

  • Problems with digestion from certain foods

  • Decreased weight

  • Bowel changes

  • Constipation

You will be on a simple, liquid diet in the days following your Whipple treatment. Your surgeon will determine when to consume solid foods. You should stick to soft, easily digested foods for a while. Consult your healthcare practitioner about suitable diet charts.
 

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