Pancreatic Resection Surgery

Background 

Pancreatic Resection surgery as the name suggests involves surgery of the liver either by conventional open surgery or minimal access surgery also called as laparoscopic surgery. The laparoscopic surgery is performed by placing the specialised instruments in the abdomain and performing surgery on the monitor under complete vision. 

Pancreatic surgeries are considered to be major surgeries and involves appropriate team work. With the advancements of techniques and improvisation of surgical skills  the surgical results of major liver resections have become excellent with time. 

The types of pancreatic surgery performed either via open conventional surgery or laparoscopic surgery are Distal pancreatectomy, central pancreatectomy, Whipple’s surgery ( pancreatoduodenectomy) , lateral pancreato-jenunostomy (LPJ), Cysto- gastrostomy, Cysto-jejunostomy and pancreatic drainage procedures. 

Indication of pancreatic surgery 

  1. Pancreatic cancers
  2. Pancreatic stones
  3. Carcinoid tumours of pancreas 
  4. Benign tumours of pancreas 
  5. Cystic lesions of pancreas
  6. Pancreatic pseudocyst 
  7. Pancreatic injuries 

Technical Insights 

Once you are planned for surgery the surgeon will explain all the details , it’s risk involved , informed consent and recovery protocols after  the surgery they are  planning to perform. Usually the length of the procedure will depend upon the extent of the surgery.  

  1. Surgery is performed under General anaesthesia
  2. Particular position of the patients according to the area of the surgery is given to the patient (commonly done in supine position) 
  3. Technically incision is given upon extent of surgery and preference of surgery 
  4. In laparoscopic surgery, Small hole are made to enter the abdomain using video scope to assess the complete abdominal cavity and area of the disease.
  5. Mobilisation of the pancreas, colon , stomach and duodenum is done .Adequate control of the major vessels is obtained. 
  6. Surgery is performed using specialised instruments, energy sources , clips , staplers  to separate the disease part. Restoration of the ductal  and alimentary continuity is done using small bowel or stomach. 
  1. The diseased part is removed and the  abdominal  is place in abdominal cavity.
  2. Please note the extent and type of surgery depends upon the disease to be removed.

Recovery after surgery 

  1. The patient is kept in surgical intensive care unit for initial observation and management. Bleeding, infection and leak are major risks involve after these surgeries. 
  1. Intensive chest physiotherapy is advised for enhanced recovery of the patients as breathing might be hampered because of long incisions and pain associated with them. 
  1. Diet is usually started once your bowel function starts returning after surgery.
  1. Early mobilisation of the patient is recommended.
  1. Routine check up up of your blood will be performed to study your recovery and chances of infection. 
  1. Diet is managed with the help of the dietician to enhance your recovery and protein supplements are added.
  2. The length of the stay of the patients depends upon. The extent of the pancreatic  resection and recovery of the patients.

Advantages of Laparoscopic pancreatic surgery 

  1. Big incision  is avoided which is used in conventional surgery which causes significant discomfort and pain.
  2. Early recovery 
  3. Early healing of the wound
  4. Shorter stay of hospital 
  5. Early mobilisation and early return to work 
  6. Scar is minimal 

To consult with best team of General and minimal access surgeons available at  The Surgeons House (SHL) in different global locations, please click this link for more details. 

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