We employ 4, physicians, and we are leaders in clinical care, groundbreaking research, and treatment breakthroughs. Share this on: Surgery to treat pancreatic cancer can remove cancerous tumors and has the potential to extend life.
Never Miss a Beat! Tap Click to Join! I understand that I may opt out of receiving such communications at any time. Thank you for subscribing! Message and data rates may apply. Stopping even for a few days before surgery can help. Your healthcare provider will refer you to our Tobacco Treatment Program if you smoke.
You can also reach the program by calling Sleep apnea is a common breathing disorder that causes you to stop breathing for short periods of time while sleeping. The most common type is obstructive sleep apnea OSA. With OSA, your airway becomes completely blocked during sleep. OSA can cause serious problems during and after surgery. Please tell us if you have sleep apnea or if you think you might have it. If you use a breathing device such as a CPAP device for sleep apnea, bring it with you the day of your surgery.
ERAS is a program to help you get better faster after your surgery. They work closely with anesthesiology staff specialized healthcare providers who will give you anesthesia during your surgery.
Your NP will review your medical and surgical history with you. You may have tests, such as an electrocardiogram EKG to check your heart rhythm, a chest x-ray, blood tests, and any other tests needed to plan your care.
Your NP may also recommend that you see other healthcare providers. Your caregiver plays an important role in your care. Before your surgery, you and your caregiver will learn about your surgery from your healthcare providers. For support resources and information, visit www. The person you identify is called your health care agent. You can also read the resources Advance Care Planning and How to Be a Health Care Agent for information about health care proxies, other advance directives, and being a health care agent.
Practice taking deep breaths and coughing before your surgery. Your healthcare provider will give you an incentive spirometer to help expand your lungs.
Try to do aerobic exercise every day. Aerobic exercise is any exercise that makes your heart beat faster, such as walking, swimming, or biking. Exercising will help your body get into its best condition for your surgery and make your recovery faster and easier. Follow a well-balanced, healthy diet before your surgery. If you need help with your diet, talk with your healthcare provider about meeting with a clinical dietitian nutritionist.
If you take aspirin or a medication that contains aspirin, you may need to change your dose or stop taking it 7 days before your surgery. Aspirin can cause bleeding. Stop taking vitamin E, multivitamins, herbal remedies, and other dietary supplements 7 days before your surgery. These things can cause bleeding. For more information, read the resource Herbal Remedies and Cancer Treatment. These medications can cause bleeding.
A staff member from the Admitting Office will call you after pm the day before your surgery. The staff member will tell you what time to arrive at the hospital for your surgery. Showering with it before your surgery will help lower your risk of infection after surgery. Your nurse will give you a bottle to use before your surgery. This includes hard candy and gum. Do not drink anything starting 2 hours before your scheduled arrival time.
This includes water. If your healthcare provider told you to take certain medications the morning of your surgery, take only those medications with a sip of water. Depending on what medications you take, this may be all, some, or none of your usual morning medications. Use it the same way you did the night before. If you have questions about prices, call To reach the garage, turn onto East 66 th Street from York Avenue. The garage is located about a quarter of a block in from York Avenue, on the right-hand north side of the street.
When you get to the hospital, take the B elevator to the 6 th floor. Check in at the desk in the PSC waiting room. This is for your safety. People with the same or a similar name may be having surgery on the same day. Tell them the dose of any medications you took after midnight including prescription and over-the-counter medications, patches, and creams and the time you took them.
Your nurse may give you medication to help with pain after surgery. Your nurse may place an intravenous IV line in one of your veins, usually in your arm or hand.
Your doctor or anesthesiologist may also talk with you about placing an epidural catheter thin, flexible tube in your spine back. An epidural catheter is another way to give you pain medication after your surgery. A member of the operating room team will help you onto the operating bed and place compression boots on your lower legs. These gently inflate and deflate to help blood flow in your legs. A urinary Foley catheter will also be placed to drain urine pee from your bladder.
Once your surgery is finished, your incision will be closed with staples or sutures stitches. Your incisions will be covered with a bandage. The information in this section will tell you what to expect after your surgery, both during your hospital stay and after you leave the hospital.
A nurse will be keeping track of your body temperature, pulse, blood pressure, and oxygen levels. Talk to your surgeon and team if you are concerned about your home recovery. Most people are able to return to their usual activities four to six weeks after surgery.
How long it takes you to recover may depend on your physical condition before your surgery and the complexity of your operation. Your chances of long-term survival after a Whipple procedure depend on your particular situation. For most tumors and cancers of the pancreas, the Whipple procedure is the only known cure.
Talk to your treatment team, family and friends if you feel stressed, worried or depressed. It may help to discuss how you're feeling. You may want to consider joining a support group of people who have experienced a Whipple procedure or talking with a professional counselor.
Explore Mayo Clinic studies of tests and procedures to help prevent, detect, treat or manage conditions. Whipple procedure care at Mayo Clinic. Mayo Clinic does not endorse companies or products. Advertising revenue supports our not-for-profit mission. This content does not have an English version. This content does not have an Arabic version. Overview Whipple procedure Open pop-up dialog box Close.
Whipple procedure 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. Request an Appointment at Mayo Clinic. A Mayo Clinic surgeon talks with a patient about the Whipple procedure. Share on: Facebook Twitter. Show references Delaney CP. In: Netter's Surgical Anatomy and Approaches. Philadelphia, Pa. Accessed Feb.
Townsend CM Jr, et al. Exocrine pancreas. Reber HA. Surgical resection of lesions of the head of the pancreas. Croome KP, et al.
Total laparoscopic pancreaticoduodenectomy for pancreatic ductal adenocarcinoma: Oncologic advantages over open approaches? Annals of Surgery. Curative surgery is done mainly to treat cancers in the head of the pancreas. Because these cancers are near the bile duct, they often cause jaundice, which sometimes allows them to be found early enough to be removed completely. During this operation, the surgeon removes the head of the pancreas and sometimes the body of the pancreas as well.
Nearby structures such as part of the small intestine, part of the bile duct, the gallbladder, lymph nodes near the pancreas, and sometimes part of the stomach are also removed.
The remaining bile duct and pancreas are then attached to the small intestine so that bile and digestive enzymes can still go into the small intestine.
The end pieces of the small intestine or the stomach and small intestine are then reattached so that food can pass through the digestive tract gut. Most often, this operation is done through a large incision cut down the middle of the belly. A Whipple procedure is a very complex operation that requires a surgeon with a lot of skill and experience.
It carries a relatively high risk of complications that can be life threatening. In general, people having this type of surgery do better when it's done at a hospital that does at least 15 to 20 Whipple procedures per year. Still, even under the best circumstances, many patients have complications from the surgery. These can include:. In this operation, the surgeon removes only the tail of the pancreas or the tail and a portion of the body of the pancreas. The spleen is usually removed as well.
To help with this, doctors recommend that patients get certain vaccines before this surgery. This surgery is used to treat cancers found in the tail and body of the pancreas.
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