Pancreaticoduodenectomy: Whipple Procedure

Abstract

This chapter describes subtotal stomach-preserving pancreaticoduodenectomy, a major challenge for gastrointestinal surgeons. Akin to the individual medley in a swimming competition, this operation involves advanced resection and reconstruction techniques. This chapter describes in detail a modified Whipple procedure as a reconstruction technique and a pancreatic duct to full-thickness jejunum anastomosis as a pancreaticojejunostomy technique. In the later stage of the operation, gastrojejunostomy and Braun enteroenterostomy are performed using instruments. The standard operation time is 6 h.