Whipple procedure: patient selection and special considerations
Clara Tan-Tam,1 Maja Segedi,2 Stephen W Chung2 1Department of Surgery, Bassett Healthcare, Columbia University, Cooperstown, New York, NY, USA; 2Department of Hepatobiliary and Pancreatic Surgery and Liver Transplant, Vancouver General Hospital, University of British Columbia, Vancouver, BC, Canada...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Dove Medical Press
2016-07-01
|
| Series: | Open Access Surgery |
| Subjects: | |
| Online Access: | https://www.dovepress.com/whipple-procedure-patient-selection-and-special-considerations-peer-reviewed-article-OAS |
| _version_ | 1818821633872232448 |
|---|---|
| author | Tan-Tam C Segedi M Chung SW |
| author_facet | Tan-Tam C Segedi M Chung SW |
| author_sort | Tan-Tam C |
| collection | DOAJ |
| description | Clara Tan-Tam,1 Maja Segedi,2 Stephen W Chung2 1Department of Surgery, Bassett Healthcare, Columbia University, Cooperstown, New York, NY, USA; 2Department of Hepatobiliary and Pancreatic Surgery and Liver Transplant, Vancouver General Hospital, University of British Columbia, Vancouver, BC, Canada Abstract: At the inception of pancreatic surgery by Dr Whipple in 1930s, the mortality and morbidity risk was more than 20%. With further understanding of disease processes and improvements in pancreas resection techniques, the mortality risk has decreased to less than 5%. Age and chronic illnesses are no longer a contraindication to surgical treatment. Life expectancy and quality of life at a later age have improved, making older patients more likely to receive pancreatic surgery , thereby also putting emphasis on operative patient selection to minimize complications. This review summarizes the benign and malignant illnesses that are treated with pancreas operations, and innovations and improvements in pancreatic surgery and perioperative care, and describes the careful selection process for patients who would benefit from an operation. These indications are not reserved only to Whipple operation, but to pancreatectomies as well.Keywords: pancreaticoduodenectomy, mortality, morbidity, cancer, trauma, pancreatitis |
| first_indexed | 2024-12-18T23:11:18Z |
| format | Article |
| id | doaj.art-7f27053db3ed455baffb2046a20a1867 |
| institution | Directory Open Access Journal |
| issn | 1178-7082 |
| language | English |
| last_indexed | 2024-12-18T23:11:18Z |
| publishDate | 2016-07-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Open Access Surgery |
| spelling | doaj.art-7f27053db3ed455baffb2046a20a18672022-12-21T20:48:20ZengDove Medical PressOpen Access Surgery1178-70822016-07-012016Issue 1516328112Whipple procedure: patient selection and special considerationsTan-Tam CSegedi MChung SWClara Tan-Tam,1 Maja Segedi,2 Stephen W Chung2 1Department of Surgery, Bassett Healthcare, Columbia University, Cooperstown, New York, NY, USA; 2Department of Hepatobiliary and Pancreatic Surgery and Liver Transplant, Vancouver General Hospital, University of British Columbia, Vancouver, BC, Canada Abstract: At the inception of pancreatic surgery by Dr Whipple in 1930s, the mortality and morbidity risk was more than 20%. With further understanding of disease processes and improvements in pancreas resection techniques, the mortality risk has decreased to less than 5%. Age and chronic illnesses are no longer a contraindication to surgical treatment. Life expectancy and quality of life at a later age have improved, making older patients more likely to receive pancreatic surgery , thereby also putting emphasis on operative patient selection to minimize complications. This review summarizes the benign and malignant illnesses that are treated with pancreas operations, and innovations and improvements in pancreatic surgery and perioperative care, and describes the careful selection process for patients who would benefit from an operation. These indications are not reserved only to Whipple operation, but to pancreatectomies as well.Keywords: pancreaticoduodenectomy, mortality, morbidity, cancer, trauma, pancreatitishttps://www.dovepress.com/whipple-procedure-patient-selection-and-special-considerations-peer-reviewed-article-OASPancreaticoduodenectomyWhipple Proceduremorbiditycancertraumapancreatitis |
| spellingShingle | Tan-Tam C Segedi M Chung SW Whipple procedure: patient selection and special considerations Open Access Surgery Pancreaticoduodenectomy Whipple Procedure morbidity cancer trauma pancreatitis |
| title | Whipple procedure: patient selection and special considerations |
| title_full | Whipple procedure: patient selection and special considerations |
| title_fullStr | Whipple procedure: patient selection and special considerations |
| title_full_unstemmed | Whipple procedure: patient selection and special considerations |
| title_short | Whipple procedure: patient selection and special considerations |
| title_sort | whipple procedure patient selection and special considerations |
| topic | Pancreaticoduodenectomy Whipple Procedure morbidity cancer trauma pancreatitis |
| url | https://www.dovepress.com/whipple-procedure-patient-selection-and-special-considerations-peer-reviewed-article-OAS |
| work_keys_str_mv | AT tantamc whippleprocedurepatientselectionandspecialconsiderations AT segedim whippleprocedurepatientselectionandspecialconsiderations AT chungsw whippleprocedurepatientselectionandspecialconsiderations |