Whipple procedure is the most common surgical technique for pancreatic cancer which has progressed to the tip of the gland is also known as a pancreaticoduodenectomy. During this procedure, the head of the pancreas, the majority of the duodenum (a piece of the small intestine), a segment of the bile duct, the gallbladder, and associated lymph nodes are all removed. In rare cases, the pancreatic core, the whole duodenum, and a portion of the stomach may be removed. The Whipple surgery takes around six hours to complete, and most patients stay in the hospital for one to two weeks following the surgery.
. If you've not been told otherwise, wait eight hours before heading to the hospital for your Whipple treatment
. Even if it's only two weeks before the Whipple operation, quit smoking to enhance your heart and lung health
. Stop using herbal supplements one to two weeks before surgery, as directed by the doctor
. Avoid taking erectile dysfunction medications for at least 24 hours before the Whipple surgery
. Avoid taking some blood pressure medicines as directed by your doctor
In a standard Whipple operation, the surgeon removes the head of the pancreas, the gallbladder, the duodenum, a portion of the stomach, and the surrounding lymph nodes. The surgeon then reconnects the remaining pancreatic and digestive organs.
In some cases, patients may have a modified Whipple technique, which maintains the whole stomach and the pylorus, the stomach valve. This is known as pylorus-preserving Whipple. Both types of surgery take about 5-7 hours to complete.
The Whipple operation may be done in various ways:
. Open surgery
. Laparoscopic surgery
. Robotic surgery
Minimally invasive surgery has certain advantages, such as less blood loss and a faster recovery, but it does take longer. Treatment may begin with minimally invasive surgery, but complications or technical difficulties may force the surgeon to complete the procedure with an open incision.
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