Pankreatoduodenektomiya – Procedure Uippla

Description of pancreatoduodenectomy

Pankreatoduodenektomiya – complex surgery to remove part of the pancreas. Along with it, they are also deleted:

• Gallbladder;
• The upper part of the small intestine;
• Part stomach – pylorus (pylorus). Sometimes the pylorus is not removed. This is called the pylorus-preserving Whipple procedure.;
• Nearby lymph nodes.

Reasons for having the Whipple procedure

This surgery is used to treat pancreatic cancer, duodenum or lower bile duct. It can also be made, to treat patients with long-term pancreatic inflammation.

Possible complications during pancreatoduodenectomy

If you plan to perform the Whipple procedure, you need to know about possible complications, which may include:

• Leakage of fluids from intestinal incisions into the abdominal cavity during surgery;
• Infection;
• Bleeding;
• Damage to other organs;
• Long-term digestive difficulties;
• Chronic abdominal pain;
• The need for ongoing pancreatic enzyme supplementation.

Factors, that may increase the risk of complications include:

• Smoking.

We need to discuss these risks with your doctor before surgery.

How is pancreatoduodenectomy performed??

Preparing for Surgery

Before surgery, your doctor may order the following tests::

• Inspection;
• Blood tests;
• Chest X-ray;
• Echocardiogram – to check heart function;
• Pulmonary function tests, To make sure, that the lungs are healthy;
• Tests for photographing areas where cancer has spread.

The doctor may prescribe a special diet before surgery, to help the body prepare. Maybe, you will have to go to the hospital a few days before the operation. The patient will be given glucose and nutritional fluids through an IV..

The patient may be asked to stop taking certain medicines a week before the procedure,:

• Aspirin and other nonsteroidal anti-inflammatory drugs (eg, Ibuprofen, naproxen);
• Blood-thinning drugs, such as warfarin;
• Antiplatelet drugs, such as clopidogrel.

Anesthesia

During the operation applies general anesthesia. The patient is in a state of sleep.

Description of the Whipple procedure

The doctor will make a large incision in the abdominal cavity. Head of the pancreas, gallbladder, duodenum and pylorus, deleted. Nearby lymph nodes can also be removed if necessary. The remaining part of the pancreas connects to the digestive organs. This will allow digestive enzymes from the pancreas to mix with the contents of the stomach and enter the small intestine. In some cases, the pylorus is not removed. The doctor closes the incision with sutures or surgical staples.

After this procedure, various tubes are inserted into the patient. Some will help drain (merge) fluid from surgical incisions. Another one is inserted into the stomach, to prevent nausea and vomiting. A tube may be inserted into the intestine, so that the patient can receive food.

Immediately after treatment

After surgery, the patient will remain in the intensive care unit for several days. This will help the doctor and nurses monitor vital signs.

How long will a pancreaticoduodenectomy take??

Duration of operation 4-8 hours.

Pankreatoduodenektomiya – Will it hurt?

Pain or soreness during recovery will be reduced with pain medications.

Average hospital stay after pancreaticoduodenectomy

Will need to stay in hospital, until the intestines start working again. This usually takes two weeks. Maybe, will have to stay longer, if there are any problems.

Care after the Whipple procedure

Care in a hospital

During the operation,, the doctor may perform a jejunostomy – bring the jejunum out through the abdominal wall. The patient will receive nutrients through this tube, until the bowel does not work properly. After, how the tube will be removed, you can gradually switch to light, and then on to regular food.

Home Care

This operation will affect the digestion of food. You need to talk to your doctor or nutritionist, to find out about, what can you eat. Maybe, will have to take medications to help with digestion and medications, to control blood sugar.

We need to ask your doctor about, when it is safe to shower, bathe, or to expose the surgical site to water.

Be sure to follow your doctor's instructions.

Contacting your doctor after the Whipple procedure

After discharge from the hospital need to see a doctor, If the following symptoms:

• Signs of infection (eg, fever, chills);
• Redness, edema, increased pain, bleeding, or any discharge from the incision;
• Nausea and / or vomiting;
• Pain, which does not pass after taking pain medication appointed.