During laparoscopic surgery the surgeon makes several smaller incisions in. A portion of the bottom of the stomach is removed.
Whipple Procedure Whipple Procedure Gastroenterology
The whipple procedure a surgery used to remove pancreatic cancer in the head of the pancreas rearranges the digestive system.
Anatomy of a whipple procedure. If a classic whipple procedure is used it also contains the pylorus and a segment of the stomach antrum. At a bare minimum a pd specimen contains the pancreatic head most of the duodenum and the distal segment of the common bile duct cbd. Robotic surgery is a type of.
A portion of the upper part of the small intestine is removed. Adequate venous return from the small bowel requires that one or the other of these two main smv tributaries is intact. Sound we will now perform a whipple procedure used to treat cancer of the head of the pancreas and the duodenum.
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. We show the incisions here at the junction between the pylorus and the first part of the duodenum at the neck of the pancreas and at the duodenojejunal flexure. This operation consists of two parts.
During an open procedure your surgeon makes an incision in your abdomen in order. Appropriate diagnosis of these complications is contingent on an. Surgical anatomy of the superior mesenteric vein smv.
The smv usually bifurcates into two main branches one to the ileum and one to the jejunum. 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 jejunal branch of the smv often referred to as the first jejunal branch.
Procedure in the procedure the head o. It is also used for the treatment of pancreatic or duodenal trauma or chronic pancreatitis. A portion of the bile duct is removed.
The typical whipple procedure steps go as follows. A whipple procedure may be done in various ways. Pancreatic head resection whipple procedure a pancreatic head resection entails removal of the head of the pancreas the duodenum the first piece of the small intestine part of the bile duct the pipe which drains bile from the liver into the bowel the surrounding lymph nodes the gallbladder and sometimes part of the stomach.
The head of the pancreas is removed. The gallbladder is removed. 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.
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