Total pancreatectomy is a complex surgical procedure that involves the complete removal of the pancreas. This organ, located at the heart of the digestive system, is involved in digestion and metabolic regulation. Its deep location and multiple connections with other organs make this a particularly delicate surgical procedure.
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The intervention of the pancreatomy takes 3 hours.
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The pancreas, located behind the stomach, is an important gland for digestion and blood sugar regulation. Cancer of the pancreas develops in its tissues and most commonly manifests as adenocarcinoma, a type of cancer that originates in the cells of the pancreatic ducts.
Due to the lack of early symptoms, diagnosis is often made at an advanced stage, making treatment more complex.
Total pancreatectomy is a radical surgical procedure that may be proposed when the cancer has invaded the entire pancreas or when digestive reconstruction after removal is considered too risky
Pancreas removal surgery is often considered in the treatment of pancreatic cancer. The type of surgery, mainly total pancreatectomy, is chosen according to the location and extent of the tumor, and its resectability as assessed by doctors in Turkey.
The goals of surgery are manifold:
Preoperative evaluation, although thorough, does not always allow us to determine with certainty the exact extent of the tumor before surgery. At the time of surgery, the surgeon may discover that the tumor is inoperable or has spread beyond the originally planned boundaries. In this case, palliative surgery is preferred to relieve symptoms associated with obstruction of the bile ducts or intestines.
Pancreatic surgery is a complex procedure, performed by hepatobiliopancreatic (HPB) surgeons in experienced centers. These procedures may be combined with other treatments, such as chemotherapy or radiation, before or after surgery.
Total pancreatectomy is a major surgical procedure reserved for the most advanced cases of pancreatic cancer where the tumor has invaded the entire organ. This surgery involves the complete removal of the pancreas and surrounding organs (duodenum, pylorus, part of the common bile duct, gallbladder, sometimes the spleen and lymph nodes).
Digestive reconstruction is then performed to allow digestive functions to continue. This involves reconnecting the stomach and remaining bile duct to the jejunum.
Surgery to remove the entire pancreas systematically leads to the onset of type 1 diabetes, requiring lifelong treatment with insulin.
Total pancreatectomy is a major surgical procedure that can cause a variety of side effects. These will vary from person to person and may occur in the short, medium, or long term. It's important to know about them so you can manage them better.
The most common side effects of total pancreatectomy include
The side effects of total pancreatectomy can be managed with :
Everyone reacts differently to surgery. Don't hesitate to talk to your healthcare team if you experience any side effects, no matter how minor. Early treatment can often relieve them and improve your quality of life.
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