The combination of general anesthesia and Thoracic epidural anesthesia (TEA) has become the technique of choice at many trusted hospitals for major abdominal surgery.
TEA reduces sympathetic activity, thereby influencing the perioperative function of vital organ systems. Thoracic epidural anaesthesia has been used widely to provide excellent pain relief, to attenuate the catabolic response to abdominal surgery.
A pancreatectomy can be performed through an open surgery technique, or it can be performed laparoscopically. The abdomen is filled with gas, usually carbon dioxide, to help the surgeon view the abdominal cavity. A camera is inserted through one of the tubes and displays images on a monitor in the operating room.
If the pancreatectomy is partial, the surgeon clamps and cuts the blood vessels, and the pancreas is stapled and divided for removal. If the disease affects the splenic artery or vein, the spleen is also removed.
If the pancreatectomy is total, the surgeon removes the entire pancreas and attached organs. The procedure is started by dividing and detaching the end of the stomach, followed by removal of the pancreas along with the connected section of the small intestine, the common bile duct and the gallbladder.