MANAGEMENT

SURGICAL RESECTION

• Only potentially curative treatment for patients with pancreatic cancer

• The resectability of malignant pancreatic tumors needs to be established

• Pancreatic masses are characterized– resectable, unresectable, or borderline

resectable.

SURGICAL RESECTION

• Pancreaticoduodenectomy (whipple procedure)

• Distal pancreatectomy• Total pancreatectomy

PANCREATICODUODENECTOMY (WHIPPLE PROCEDURE)

• Removal of the head and uncinate process of the pancreas, duodenum, proximal 6 in (15 cm) of jejunum, gallbladder, common bile duct, and distal stomach

• With anastomosis of the common hepatic duct and the remaining pancreas and stomach to the jejunum

• All share a common blood supply

PANCREATICODUODENECTOMY (WHIPPLE PROCEDURE)

The Whipple procedure. Before the procedure(A). After the procedure; note the anastomosis of the hepatic duct and the remaining pancreas and stomach to the jejunum(B).

PANCREATICODUODENECTOMY (WHIPPLE PROCEDURE)

• Patients who will most likely benefit from this procedure have a tumor located in the head of the pancreas or the periampullary region