Pancreatic Surgery

Pancreaticoduodenectomy (Whipple Procedure)

This procedure is performed for cancer of the pancreatic head and ampulla.

A pancreaticoduodenectomy, also known as a Whipple procedure, involves the removal of the pancreas head due to a tumor in the pancreas or bile duct, or chronic pancreatitis.

If a tumor exists in the head of the pancreas, it is usually necessary to remove the pancreatic head, duodenum, gall-bladder and a portion of the bile duct . Sometimes, part of the stomach is also removed.

The end of a patient’s bile duct and the remaining pancreas are then connected to the small bowel to ensure flow of bile and enzymes into the intestines. This is a very major operation with considerable morbidity.

Distal Pancreatectomy (laparoscopic or open)

Indicated for tumors in the body and tail of the pancreas, a distal pancreatectomy involves the removal of tail of the pancreas either laparoscopically or with open surgery.

With both laparoscopic and open distal pancreatectomy procedures, surgeons attempt to preserve the spleen. There is a small chance of developing diabetes after this operation.

Dr.P.Radhakrishna has a vast experience in surgery of the laparoscopic.

Longitudinal Pancreaticojejunostomy (Puestow Procedure)

This is an operation performed for patients with chronic pancreatitis. These patients present with chronic abdominal pain radiating to the back.

CT scans will show evidence of stones in the pancreas and a dilated pancreatic duct. Patients not responding to medication will require surgical treatment.

The pancreatic duct is opened surgically from the tail to the head of the pancreas and attached to the small bowel. (peustow procedure)

Dr.P.Radhakrishna has a vast experience in surgery of the Puestow Procedure .

Distal Pancreaticojejunostomy (Du Val Procedure)

This is yet another operation for chronic pancreatitis . In this procedure pancreas is divided transversely at the neck, and the body and tail are drained via attachment to the small bowel to the tail region of the pancreas.

The 85% of patients with pain respond to surgery. They may require a long term enzyme therapy

Dr.P.Radhakrishna has a vast experience in surgery of the Du Val Procedure .

Sphincteroplasty

In a small sub-set of patients with chronic pancreatitis with severe abdominal pain and a block of the pancreatic duct at the ampulla : When endoscopic sphincterotomy is unsuccessful, surgical sphincteroplasty may be required of the minor or major papilla.

Dr.Radhakrishna has a large experience in performing surgeries on the pancreas and has performed many Whipple procedures with excellent results.