Pancreatectomy is the surgical removal of all or a part of the pancreas. It is the most effective treatment for cancer of the pancreas, an abdominal organ that secretes digestive enzymes, insulin, and other hormones.
Pancreatectomy is the surgical removal of all or a part of the pancreas. It is the most effective treatment for cancer of the pancreas, an abdominal organ that secretes digestive enzymes, insulin, and other hormones.
While surgical removal of tumors in the pancreas is preferred, it is only possible in the 10-15% of patients who arediagnosed early enough for a potential cure.
Depending on part of pancreas removed, the procedure can be categorized into
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The surgeon will recommend the procedure in following medical conditions:
Patients with symptoms undergo some tests before the surgery is considered. These are
Such tests are required to establish a correct diagnosis for the pancreatic disorder and in the planning the surgery.
Since many patients with pancreatic cancer are undernourished, appropriate nutritional support, sometimes by tube feedings, may be required prior to surgery.
Some patients with pancreatic cancer deemed suitable for a Pancreatectomy will also undergo chemotherapy and/or radiation therapy.
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.
Pancreatectomy is major surgery. Therefore, extended hospitalization is usually required with an average hospital stay of 2 to 3 weeks.
Some pancreatic cancer patients may also receive combined chemotherapy and radiation therapy after surgery. This additional treatment has been clearly shown to enhance survival rates.
After surgery, patients experience pain in the abdomen and are prescribed pain medication. Follow-up exams are required to monitor the patient's recovery and remove implanted tubes.
After a total Pancreatectomy, the body loses the ability to secrete insulin, enzymes, and other substances; therefore, the patient has to take supplements for the rest of life. Depending on the medical condition, a pancreas transplantation may be considered as an alternative for some patients.
Patients usually resume normal activities within a month. Doctor will suggest to avoid heavy lifting for six to eight weeks following surgery and not to drive as long as they take narcotic medication.
There is a fairly high risk of complications associated with any Pancreatectomy procedure. Commonly known complications are:
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Fortis Memorial Research Institute, G...
Sector 44, Opposite HUDA City Centre Metro Station, Gurgaon, Haryana, 122002, India
1250 Beds
Fee Range: INR 500 to INR 2000
Registration FREE + 10% Off on Fee
C-1, Sushant Lok Road, Block C, Phase 1, Sector-43, Gurgaon, Haryana, 122002, India
GNH Tower, MG Road, Opposite Govt Girls College, Sector-14, Gurgaon, Haryana, 122001, India
Kriti Multi-Specialty Hospital, Secto...
Plot No 13, , Infront of Kendriya Vihar, Gurgaon, Haryana, 122011, India
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MBBS, MS - General Surgery, DAAD Fellowship
Chairman - Institute of Digestive and Hepatobiliary Sciences
4 Awards, 39 Years
MBBS, MS - General Surgery, Fellowship
Director & HOD - Minimal Access, Bariatric & GI Surgery
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