Whipple’s surgery or pancreaticoduodenectomy is the name given to the surgery is done for the treatment of periampullary cancers and certain resistant lower biliary strictures.
Whipple Surgery in Pune is a complex procedure which involves removal of parts of the biliary system and the intestine and rejoining them to preserve the continuity of biliary flow and the continuity of the bowel.
Whipple Surgery in Pune may be required whenever the cause of the jaundice is obstruction in the lower biliary tract near the Ampulla of Vater due to a tumor. Tumors in the lower bile duct, head of pancreas, duodenum and ampullary tumors are collectively called as periampullary tumors and they commonly present with obstructive jaundice.
Imaging of the abdomen and pelvis to determine the exact location of the tumor and its relations to the adjoining structures will be essential before Whipple’s surgery is planned. This imaging can be in the form of a CT scan, Magnetic Resonance Cholangio-Pancreaticographhy (MRCP) or Endoscopic Ultrasound (EUS).
If the tumor is locally advanced and its closeness to vital structures makes it difficult or impossible to achieve complete resection safely, then pre-operative neoadjuvant therapy in the form of chemotherapy and/or radiotherapy may be given before considering the patient for Whipple’s surgery.
Sometimes, if the levels of obstructive jaundice are very high, a pre-operative internal biliary stenting may be required prior to doing Whipple Surgery in Pune in order to decrease the levels of jaundice, improve liver function and to decrease postoperative complications.
Although Whipple Surgery in Pune is a very complex surgery with chances of post-operative complications and morbidity, Whipple’s surgery has become safe nowadays because of improvement in surgical and anesthetic techniques and better post-operative care in the form of antibiotics and nutritional supplementation.
Dr. Amit Parasnis is a well-trained and experienced cancer surgeon for Whipple Surgery in Pune who provides rational and ethical treatment for cancer and strives to achieve best oncological outcomes.