Advertisement

Pancreaticoduodenectomy (Whipple Procedure)

  • Scott N. PinchotEmail author
  • Sharon M. Weber
Chapter

Abstract

Pancreaticoduodenectomy is the treatment of choice of pancreas head lesions, and can be performed as a pylorus-sparing or standard (pylorus resecting) operation. This complex operation is fraught with a high rate of complications, and mortality increases in lower-volume hospitals and is best performed by an experienced team.

Keywords

Pancreas resection Pancreas cancer 

References

  1. 1.
    National Institutes of Health, National Cancer Institute Statistics. 2008. URL: http://www.cancer.gov. Accessed 16 July 2008.
  2. 2.
    Traverso LW, Peralta EA, Ryan JA, et al. Intraductal neoplasms of the pancreas. Am J Surg. 1998;175:426–32.CrossRefPubMedGoogle Scholar
  3. 3.
    Paye F, Sauvanet A, Terris B, et al. Intraductal papillary mucinous tumors of the pancreas: pancreatic resections guided by preoperative morphological assessment and intraoperative extemporaneous examination. Surgery. 2000;127:536–44.CrossRefPubMedGoogle Scholar
  4. 4.
    Bachellier P, Nakano H, Oussoultzoglou E, et al. Is pancreaticoduodenectomy with mesentericoportal venous resection worthwhile? Am J Surg. 2001;182:120–9.CrossRefPubMedGoogle Scholar
  5. 5.
    Bold RJ, Charnsangavej C, Cleary KR, et al. Major vascular resection as part of pancreaticoduodenectomy for cancer: radiologic, intraoperative, and pathologic analysis. J Gastrointest Surg. 1999;3:233–43.CrossRefPubMedGoogle Scholar
  6. 6.
    Yeo CJ, Cameron JL, Sohn TA, et al. Six hundred fifty consecutive pancreaticoduodenectomies in the 1990s: pathology, complications, and outcomes. Ann Surg. 1997;226:248–60.PubMedCentralCrossRefPubMedGoogle Scholar
  7. 7.
    Balcom JH, Rattner DW, Warshaw AL, et al. Ten-year experience with 733 pancreatic resections. Arch Surg. 2001;136:391–8.CrossRefPubMedGoogle Scholar
  8. 8.
    Povoski SP, Karpeh Jr MS, Conlon KC, Blumgart LH, Brennan MF. Association of preoperative biliary drainage with postoperative outcome following pancreaticoduodenectomy. Ann Surg. 1999;230:131–42.PubMedCentralCrossRefPubMedGoogle Scholar
  9. 9.
    Diener MK, Heukaufer C, Schwarzer G, et al. Pancreaticoduodenectomy (classic Whipple) versus pylorus-preserving pancreaticoduodenectomy (pp Whipple) for surgical treatment of periampullary and pancreatic carcinoma. Cochrane Database Syst Rev. 2008;(2):CD006053.Google Scholar

Copyright information

© Springer International Publishing Switzerland 2016

Authors and Affiliations

  1. 1.Department of SurgeryNorthwest Community HealthcareArlington HeightsUSA
  2. 2.Department of SurgeryUniversity of WisconsinMadisonUSA

Personalised recommendations