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Lung function tests to make sure your lungs are strong
Imaging tests to locate the cancer and make sure it has not spread
Your doctor may put you on a special diet before the surgery to help your body prepare. If you are not able to eat, you may need to go to the hospital several days before surgery. You will be given glucose and fluids through an IV.
Talk to your doctor about your medications, herbs, and dietary supplements. You may be asked to stop taking some medications up to one week before the procedure.
will be used. It will block any pain and keep you asleep during surgery.
For open Whipple procedures, a large incision will be made in the abdomen. The head of the pancreas and the gallbladder, duodenum, and pylorus will be removed. Nearby lymph nodes may also be removed. The remaining pancreas and digestive organs will be reconnected. This will allow the digestive enzymes from the pancreas and stomach contents to flow into the small intestine. In some cases, the pylorus is not removed. The doctor will close the incision with stitches or staples. The incisions will be covered with bandages.
For laparoscopic procedures, a camera and small surgical instruments are inserted through small incisions into the abdomen. The organs can be removed and reconnected through the openings. After the area is carefully examined, the laparoscope will be removed. The doctor will close the incision with stitches or staples. The incisions will be covered with bandages.
You may have many small tubes placed after the procedure. Some will help drain fluid from the surgery site. Another tube may go into your stomach to help prevent nausea and vomiting. A tube may go to your intestines so you can receive nutrition.
During surgery, your doctor may have placed a jejunostomy tube (j-tube). You will receive nutrients through this tube until your intestines are working normally. After the tube is removed, you can gradually progress to a soft diet, then to regular food.
Other tubes will be removed as you recover.
During your stay, the hospital staff will take steps to reduce your chance of infection, such as:
Washing their hands
Wearing gloves or masks
Keeping your incisions covered
There are also steps you can take to reduce your chance of infection, such as:
Washing your hands often and reminding your healthcare providers to do the same
Reminding your healthcare providers to wear gloves or masks
Not allowing others to touch your incision
This surgery will affect the way your body digests food. You may feel bloated or full after eating. You may have nausea and vomiting. Talk to your doctor or dietitian to learn how you should eat. You may need to start new medications to help with digestion and medications to help control your blood sugar. Follow instructions about wound care to prevent infection.
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What you need to know about cancer of the pancreas. National Cancer Institute website. Available at: ...(Click grey area to select URL) Accessed February 27, 2014.
Whipple procedure. Pancreatic Cancer Action Network website. Available at:
https://www.pancan.org/section-facing-pancreatic-cancer/learn-about-pan-cancer/treatment/surgery/whipple-procedure-pancreaticoduodenectomy. Accessed February 27, 2014.
6/6/2011 DynaMed's Systematic Literature Surveillance Available at: ...(Click grey area to select URL) Mills E, Eyawo O, et al. Smoking cessation reduces postoperative complications: Asystematic review and meta-analysis. Am J Med. 2011;124(2):144-154.
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