Pancreaticoduodenectomy

Pancreaticoduodenectomy

Find the best hospitals for Pancreaticoduodenectomy on the Bajaj Finserv Health platform.

Minimum Cost
2,00,000
Average Cost
5,00,000
Maximum Cost
8,00,000
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What is Pancreaticoduodenectomy Surgery?

Pancreaticoduodenectomy surgery, also known as Whipple procedure, is a complex surgical procedure to remove the head of the pancreas, duodenum, gallbladder, and part of the stomach. This surgery is performed to treat pancreatic cancer, bile duct cancer, and other conditions that affect the pancreas.

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Types of Pancreaticoduodenectomy Procedure

  • Standard Whipple Procedure

    The standard Whipple procedure involves the removal of the pancreas head, the duodenum (the first part of the small intestine), the gallbladder, and the bile duct. This procedure is done when the cancer is confined to the head of the pancreas.

  • Modified Whipple Procedure

    The modified Whipple procedure is similar to the standard Whipple procedure, but it involves the removal of the body and tail of the pancreas in addition to the other organs. This procedure is done when the cancer has spread beyond the head of the pancreas.

  • Total Pancreatectomy

    The entire pancreas is removed, including the head, body, and tail, as well as the duodenum, gallbladder, and bile duct. This procedure is done when the cancer has spread throughout the pancreas.

  • Distal Pancreatectomy

    This process involves the removal of the pancreas, body and tail, leaving the head intact. This procedure is done when the cancer is located in the body or tail of the pancreas.

  • Robotic Pancreaticoduodenectomy Procedure

    A robotic pancreaticoduodenectomy procedure is a minimally invasive surgery that uses robotic arms for the Whipple procedure. This procedure offers several benefits, including shorter hospital stay, less pain, and faster recovery time.

  • When is Pancreaticoduodenectomy Operation Required?

  • Pancreaticoduodenectomy, also known as Whipple procedure, is a surgical procedure performed to treat tumors or other conditions affecting the pancreas, bile duct, or duodenum.

  • The procedure is most commonly used to treat pancreatic cancer, but it may also be used to treat other conditions such as chronic pancreatitis, ampullary cancer, or duodenal cancer.

  • The decision to perform a pancreaticoduodenectomy is based on factors like the tumor size and location, cancer stage, and overall patient health.

  • In some cases, the procedure may be the only option for treating the cancer, while in other cases, it may be performed as part of a larger treatment plan that involves chemotherapy or radiation therapy.

  • It is important to discuss all available treatment options with a healthcare professional to identify the best course of action for each individual case.

  • How to Prepare for Pancreaticoduodenectomy Surgery?

  • Preparing for a pancreaticoduodenectomy surgery involves several steps, including medical evaluation, dietary changes, and lifestyle modifications.

  • Before the surgery, the patient will be made to take a medical test to check the eligibility for the procedure.

  • The evaluation may include blood tests, imaging, and other diagnostic tests for an overall assessment of the patient's health and to determine the extent of the cancer.

  • In addition, the patient may be required to make dietary changes in the days or weeks leading up to the surgery.

  • The patient may be asked to avoid some foods/beverages, such as alcohol or caffeine, and increase the intake of high-protein foods.

  • The patient may also be advised to quit smoking and to increase their level of physical activity to improve overall health and reduce the complication risk during and after the surgery.

  • Other preparations may include arranging for transportation to and from the hospital, making necessary arrangements at work or with family, and discussing any concerns or questions with the healthcare team.

  • What Happens Before Pancreaticoduodenectomy Surgery?

  • Medical evaluation:

    Before the surgery, there is an overall health assessment to assess the patient's overall health and fitness for the surgery.

  • Pre-operative Tests:

    The patient may need to undergo several tests such as blood tests, imaging tests, and electrocardiogram (ECG) to ensure that they are fit for surgery.

  • Medication Review:

    The doctor will review the patient's medications and may need to adjust or stop some of them to avoid any complications during and after the surgery.

  • Dietary Restrictions:

    The patient may be asked to follow a special diet or avoid eating and drinking anything for a certain period before the surgery.

  • Bowel Preparation:

    The patient may be given laxatives or enemas to cleanse their digestive tract before the surgery.

  • Anesthesia Consultation:

    The patient will meet with an anesthesiologist who will explain the anesthesia options and help the patient choose the most appropriate one.

  • What Happens During a Pancreaticoduodenectomy Operation?

  • Pancreaticoduodenectomy is a complex surgical procedure in which the surgeon removes the head of the pancreas, the duodenum, part of the stomach, the gallbladder, and the bile duct. The surgery may take several hours and is performed under general anesthesia. Here are the steps involved in the surgery:

  • Incision:

    The surgeon creates an incision in the upper abdomen to access the pancreas and other organs.

  • Removal of the Head of the Pancreas:

    The surgeon carefully removes the pancreas head, along with the duodenum, part of the stomach, the gallbladder, and the bile duct.

  • Reconstruction:

    The surgeon then reconstructs the remaining organs by connecting the remaining part of the pancreas to the small intestine, rerouting the bile duct, and attaching the stomach to the small intestine.

  • Drain Placement:

    The surgeon places drain to help in removing any excess fluid/blood that may get accumulated after the surgery.

  • Closure:

    The surgeon closes the incision with sutures/staples, and the patient is taken to the recovery room.

  • Methods/Techniques Used for Performing Pancreaticoduodenectomy Procedure

  • Open Approach:

    This involves making a large incision in the abdomen to access the pancreas and surrounding organs. It allows for better visualization and control, but also leads to more pain and longer recovery time.

  • Minimally Invasive Approach:

    This involves using laparoscopic or robotic-assisted techniques to perform the surgery through smaller incisions. It allows for faster recovery time and less pain, but may not be suitable for all cases.

  • Whipple Procedure:

    This is the most common type of pancreaticoduodenectomy and involves removing the head of the pancreas, duodenum, gallbladder, and part of the stomach. The remaining organs are then reconnected to maintain digestive function.

  • Distal Pancreatectomy:

    This involves removal of the tail and body of the pancreas, but does not include the duodenum and other surrounding organs. It may be performed if the cancer is located in the lower part of the pancreas.

  • Post Procedure Details

    After the surgery is done, the patient will be closely observed in the hospital for several days. Pain medication will be provided to manage discomfort and a feeding tube may be necessary until the digestive system recovers. The patient will also receive instructions on postoperative to care for the surgical incision and how to gradually resume normal activities.

    Risks and Complications Associated with Pancreaticoduodenectomy Surgery

  • Bleeding:

    This can happen either during or after the surgery and may need more procedures to stop the bleeding.

  • Infection:

    This can occur at the surgical site or in other parts of the body and may require antibiotics or other treatments.

  • Pancreatic Fistula:

    This is a leakage of the pancreatic fluid from the surgical site and can lead to infection or other complications. It may require additional procedures or prolonged hospitalization.

  • Delayed Gastric Emptying:

    This is a common complication that can cause nausea, vomiting, and delayed recovery. It may require medication or other treatments to manage.

  • Wound Dehiscence:

    This is separation of the surgical incision; this can lead to infection or other complications. It may require additional procedures or prolonged hospitalization.

  • Death:

    Although rare, pancreaticoduodenectomy surgery does carry a risk of death due to complications or other factors.

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    DisclaimerThe cost of pancreaticoduodenectomy depends on the following factors: the city, the hospital that is selected, the complexity of the procedure and the room chosen by the patient. The price range mentioned here is an approximation of the surgery cost; Bajaj Finserv Health does not claim that these prices are an exact estimate. For exact information about surgery charges, it is best inquire at the selected hospital.