Institute Of

Gastroenterology

Pancreatic Surgery

Pancreaticoduodenectomy (Whipple Procedure)
The pancreaticoduodenectomy is also known as the Whipple or Kausch-Whipple procedure. This process is performed for cancer of the pancreatic head tumors of the common bile duct, duodenal papilla and ampulla.The process involve tumors of the common bile duct, duodenal papilla and ampulla. Pylorus, which is part of the stomach and lymph node located near the head of the pancreas. The end of the patient’s bile duct and the remaining pancreas are connected to the small intestine to ensure the flow of bile and enzymes into the intestine.
Pancreatic Surgery SIMS Hospital
Distal Pancreatectomy
Indicated for tumours within the body and tail of the pancreas, a distal pancreatectomy involves the removal of neoplasms either laparoscopically or with open surgery. With each laparoscopic and open distal pancreatectomy procedures, surgeons decide to preserve the spleen. Distal pancreatectomy makes an attempt to get rid of the lowest half the pancreas due to the presence of a tumor in the tail of the pancreas. Once removed the sting of the pancreas is sutured to avoid discharge of pancreatic juices. There are at least three different techniques for distal pancreatectomy which are open distal pancreatectomy and splenectomy, spleen preserving distal pancreatectomy and laparoscopic distal pancreatectom.
  • Open distal pancreatectomy and splenectomy The blood offer of the spleen is closely related to the duct gland. Open distal pancreatectomy and splenectomy involves complete removal of the spleen together with the tail of the pancreas.
  • Spleen preserving distal pancreatectomy The blood vessels in the spleen are responsible for supplying blood to the pancreas. In an effort to preserve this process, the blood vessels are fastidiously separated from the pancreas and the tail of the pancreas is then removed.
  • Laparoscopuc distal pancreatectomy, this procedure is suggested for people suffering from pseudocysts or chronic pancreatitis, island cell tumors of the pancreas or cystic tumors in the pancreas.A laparoscopic hand access device is utilized associate incision of about just 2.5 inches. The specialty of the device permits the surgeon to insert their hand into the abdomen during the surgery.
Drainage Procedures

With chronic pancreatitis, a dilated pancreatic duct usually reflects obstruction. Quite often these patients present with stones in the pancreas. In chronic pancreatitis, there’s progressive fibrocystic disease of the pancreas and ensuant loss of secretory organ and endocrine functions. Surgical intervention is guaranteed for patients with unmalleable pain that doesn’t answer to non-surgical therapy. Otherwise thought-about benign, chronic pancreatitis will have an effect on the standard of life in a personal inflicting important distress.

Longitudinal Pancreaticojejunostomy (Puestow Procedure).
Longitudinal Pancreaticojejunostomy (Puestow Procedure). A longitudinal incision formed in the pancreas. The duct is opened from the tail to the pinnacle of the duct gland and hooked up to the little gut. The duct and the pancreas are then sewn together to the pancreatic duct to allow drainage.
Distal Pancreaticojejunostomy (Du Val Procedure).

The pancreas is divided transversely at the neck,  the body and tail are drained and hooked up to the small bowel. The duct and therefore the duct gland are then seamed along to the epithelial duct to permit drainage.

Sphincteroplasty

When endoscopic sphincterotomy is unsuccessful, surgical transduodenal sphincteroplasty can be required of the minor or principal papilla. It is an open surgical operation under popular anesthesia.

Pancreatic Surgery SIMS Hospital
Pancreatic Surgery SIMS Hospital