The whipple procedure a surgery used to remove pancreatic cancer in the head of the pancreas rearranges the digestive system. The smv usually bifurcates into two main branches one to the ileum and one to the jejunum.
Whipple Procedure
A pancreaticoduodenectomy pancreatoduodenectomy whipple procedure or kausch whipple procedure is a major surgical operation most often performed to remove cancerous tumours off the head of the pancreas.
Whipple procedure anatomy. The remaining organs are reattached to allow you to digest food normally after surgery. Indications for the procedure include pancreatic head tumours periampullary tumours distal common bile duct tumours and chronic pancreatitis involving the pancreatic head. The jejunal branch of the smv often referred to as the first jejunal branch.
Due to the shared blood supply of organs in the proximal gastrointestinal system surgical removal of the head of the pancreas also necessitates removal of the duodenum proximal jejunum gallbladder. Pancreaticoduodenectomy was first performed in 1909 and was popularized by the american surgeon allen whipple who refined the technique in the 1930s. Anatomy the pancreas is prismoid in shape and appears triangular in cut section with superior inferior and anterior borders as well as anterosuperior anteroinferior and posterior surfaces.
The whipple procedure is associated with a set of common complications including pancreatic fistula postsurgical hemorrhage postoperative pancreatitis portomesenteric venous thrombosis hepatic infarction delayed gastric emptying and anastomotic strictures. This procedure is performed for tumors located in the head of the pancreas that are malignant though occasionally benign ones need to be removed as well. In most whipple procedures the gall bladder nearby lymph nodes and a portion of the stomach called the pylorus are also removed.
About the whipple procedure. Adequate venous return from the small bowel requires that one or the other of these two main smv tributaries is intact. The whipple procedure pancreaticoduodenectomy is an operation to remove the head of the pancreas the first part of the small intestine duodenum the gallbladder and the bile duct.
It is also used for the treatment of pancreatic or duodenal trauma or chronic pancreatitis. These tumors can start in the pancreas itself the part of the bile duct which goes through the pancreas or the wall of the bowel the duodenum adherent to the pancreas. Surgical anatomy of the superior mesenteric vein smv.
The whipple procedure or partial pancreaticoduodenectomy is considered the definitive surgical operation to resect carcinoma of the head of the pancreas periampullary carcinoma or duodenal carcinoma 1. The whipple procedure or pancreaticoduodenectomy is a surgical operation that removes or resects the head of the pancreas and portions of the common bile duct and duodenum.
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