Description

The pancreaticoduodenectomy (Whipple procedure) is a complex operation with the potential for significant morbidity and mortality. It should only be performed when there is a clear indication and when no alternative is available.


 

Indications associated with a neoplasm:

(1) carcinoma of the head of the pancreas

(2) duodenal carcinoma

(3) carcinoma of the common bile duct

(4) adenocarcinoma arising in the ampulla of Vater

(5) islet cell tumor of the pancreas

(6) colon cancer with involvement of the head of the pancreas

(7) gastric carcinoma invading the head of the pancreas

(8) cystadenoma of the pancreas

(9) leiomyoma of the duodenum

(10) other tumor of the bile duct, pancreas or duodenum

 

Indications not associated with a neoplasm:

(1) chronic pancreatitis

(2) massive trauma

(3) complicated stone impaction

(4) uncontrollable bleeding from the pancreas (aneurysm, pseudoaneurysm, etc)

 


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