Laparoscopic pancreatic surgery

Pancreatic Surgery

In patients with malignant pancreatic tumor, aggressive pancreatic surgery is the only chances of long term survival. Most of these patient will also be treated with multimodality therapy either pre-operatively or postoperatively. Pancreatic surgery also offer patient a cure when the pancreatic tumor in benign or pre-malignant. In patients with chronic pancreatitis, pancreatic surgery can effectively palliate their symptoms of abdomen pain.

The type of pancreatic surgery

The type of pancreatic surgery is largely depends on the location of the tumor at the pancreas.

The anatomical location of the pancreas is divided into pancreatic head, uncinate process, pancreatic neck, pancreatic body and pancreatic tail.

For a pancreatic tumor at the head or uncinate process, Whipple operation is the operation of choice. For a pancreatic tumor at the body and tail of the pancreas, distal pancreatic resection is the operation of choice. For tumor in the pancreatic neck, the choice of surgery is slightly more controversy. If the tumor is benign (but symptomatic) or pre-malignant, then our choice is central pancreatic resection ( median pancreatectomy). However, if the tumor is deems malignant, then then choice of operation is either an extended distal pancreatic resection of whipple operation.

At Sacred Heart Medical Center, Eugene, OR, specialised surgeons can now offer all the pancreatic surgery mentioned to be done laparoscopically or in an open fashion. They have done laparoscopic whipple operation, laparoscopic central pancreatic resection, laparoscopic distal pancreatic resection with spleenic preservation or with spleenectomy. Laparoscopic enucleation is the standard of care for isolated pancreatic insulinoma.

These are the procedures offer in Sacred Heart Medical Center, Eugene, OR.

Pancreatic Tumor

Whipple operation
i. Laparoscopic Whipple operation
ii. Open Whipple operation

Central pancreatic resection (Median pancreatectomy)

Distal pancreatic resection
i. Laparoscopic distal pancreatectomy
1. Laparoscopic distal pancreatectomy with splenic preservation
2. Laparoscopic distal pancreatectomy with spleenectomy
ii. Open distal pancreatectomy

Pancreatic enucleation
i. Laparoscopic pancreatic tumor enucleation
ii. Open pancreatic tumor enucleation

Chronic pancreatitis

Pseudocyst drainage procedure
i. Laparoscopic cytogastrostomy
ii. Laparoscopic cystoduodenostomy
iii. Laparoscopic cystojejunostomy

Peustow’s operation ( pancreaticojejunostomy)
i. Laparoscopic Peustow’s Operation
ii. Open Peustow’s operation

Berger operation
i. Laparoscopic Berger operation
ii. Open Berger operation

Frey operation
i. Laparoscopic Frey operation
ii. Open Frey operation

Resection
i. Whipple operation ( laparoscopic whipple or open)Distal pancreatic resection