The pancreas is an organ in the digestive system. It has tasks such as regulating insulin resistance, digesting fat and protein, regulating hormones. It is located behind the stomach and is surrounded by the duodonelle. Pancreatic cancer sometimes occurs in a part of the pancreas, sometimes in the whole pancreas. Pancreatic cancer surgery, also known as Whipple surgery, is a very difficult surgery due to the location of the pancreas and the size of the organ.
How is it Done?
The most challenging operation of general surgery is whipple surgery. Whipple can be performed in the form of open surgery, laparoscopic surgery, and robotic surgery.
Classic Whipple: It is a large-scale surgery. Part of the head or body of the pancreas, as well as many of its surrounding organs, is removed. Some of the organs such as stomach, small intestine, duodonelle, bile, gall bladder are removed.
Pyloric Protector Whipple: There is a muscle called the pylorus, which acts as a valve at the stomach entrance. It opens as the food descends into the stomach and closes so that the food does not come back out of the stomach. It is important to protect this organ in pancreatic surgery so that the patient does not experience nutritional problems in his future life.
Pancreatic cancer surgery usually takes between 5-8 hours. Depending on the condition of the tumor and surrounding organs, the period may be extended.
After the Pancreas Cancer Surgery
After the operation, the patient must stay in the hospital for at least one week.
Infection, bleeding, coagulation, respiratory tract problems, gastric emptying, anastomotic leakage may occur. Therefore, the patient is kept under control until the risk of complications passes.
If leakage occurs in the newly formed connection between the pancreas and small intestine of the patient, new drains are inserted by radiology.
After the Whipple surgery, the patient must comply with the nutritional program. Fat and protein should be consumed less. In addition, the patient should pay attention to sugar, as the balance of insulin and glucagon will be disturbed. The patient's nutrition program is prepared by experts.
- The patient cannot use alcohol or cigarettes.
- The patient should drink plenty of water.
- After the first effects of the surgery have passed, the patient is checked at 6-month intervals for 3 years.
- For cancer treatment, the patient must continue radiotherapy and chemotherapy.