This A pancreatectomy can be said as the surgery from the pancreas. A pancreatectomy might be total, whereby the whole organ is taken away, generally combined with the spleen, gallbladder, typical bile duct, and portions from the small intestine and stomach. A pancreatectomy can also be distal, and therefore just the body and tail from the pancreas are eliminated, leaving the top from the organ attached.
While surgical removal of tumors in the pancreas is the preferred treatment, it is only possible in the 10???15% of patients who are diagnosed early enough for a potential cure. Patients who are considered suitable for surgery usually have small tumors in the head of the pancreas (close to the duodenum, or first part of the small intestine), have jaundice as their initial symptom, and have no evidence of metastatic disease (spread of cancer to other sites). The stage of the cancer will determine whether the pancreatectomy to be performed should be total or distal.
A partial pancreatectomy may be indicated when the pancreas has been severely injured by trauma, especially injury to the body and tail of the pancreas. While such surgery removes normal pancreatic tissue as well, the long-term consequences of this surgery are minimal, with virtually no effects on the production of insulin, digestive enzymes, and other hormones.
A pancreatectomy can be carried out with an open surgery technique, whereby one large incision is created, or it may be performed laparoscopically, whereby the surgeon makes four small incisions to place tube-like surgical devices. The abdomen is stuffed with gas, usually co2, to assist the surgeon view the abdominal cavity. A camera is placed through one of the tubes and displays images on the monitor within the operating room. Other devices are put with the additional tubes. The laparoscopic approach enables the surgeon to operate within the patient’s abdomen without creating a large incision.
After surgery, patients experience pain in the abdomen and are prescribed pain medication. Follow-up exams are required to monitor the patient’s recovery and remove implanted tubes.
A total pancreatectomy leads to a condition called pancreatic insufficiency, because food can no longer be normally processed with the enzymes normally produced by the pancreas. Insulin secretion is likewise no longer possible. These conditions are treated with pancreatic enzyme replacement therapy, which supplies digestive enzymes; and with insulin injections. In some case, distal pancreatectomies may also lead to pancreatic insufficiency, depending on the patient’s general health condition before surgery and on the extent of pancreatic tissue removal.