4.10 Whipple: pancreaticoduodenectomy
click to edit
click to edit
click to edit
click to edit
click to edit
specific
click to edit
click to edit
click to edit
general
distal stomach
duodenum
proximal 15 cm of jejunum
head of pancreas
common bile duct
lymph nodes
pancreatico-jejunostomy
hepatico-jejunostomy
gastro-jejunostomy
gallbladder
dumping syndrome (gastric emptying)
gastric stasis
endocrine insufficiency: DM
exocrine insufficiency: malabsorption, stetorrhea
click to edit
diarrhea (ANS)
anastomotic leak
pancreatitis
pseudocyst
injury
bleeding
infection