Whipple procedure | 合法醫療器材資訊網

TheWhippleprocedure(orpartialpancreaticoduodenectomy)isconsideredthedefinitivesurgicaloperationtoresectcarcinomaoftheheadofthepancreas, ...

The Whipple procedure (or partial pancreaticoduodenectomy) is considered the definitive surgical operation to resect carcinoma of the head of the pancreas, periampullary carcinoma, or duodenal carcinoma 1.

In the procedure, the head of the pancreas[1] and adjacent duodenum[2] is resected. The gallbladder[3] is also removed. Three anastomoses are then created between the bowel and the liver, stomach, and pancreas. A nodal resection is also performed. The end result includes:

The classic Whipple procedure involves resection of the gastric antrum, but in appropriate patients a "pylorus-preserving" Whipple (PPPD)[4] may be performed, which results in improved postoperative functional outcome.

A Whipple procedure can be assumed if the features listed above are present. CT is useful for evaluation of complications:

gastric outlet ...