Definition | Reasons for Procedure | Possible Complications | What to Expect | Call Your Doctor

Definition

The pancreas is an important structure in your abdomen that makes enzymes. One type of enzyme helps aid in food digestion. Another type helps regulate sugar levels in the blood.

The Pancreas

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This is surgery to remove the pancreas. In this procedure, all or part of the pancreas can be removed. In some cases, other nearby structures may also be removed, such as:

  • Gallbladder
  • Spleen
  • Part of the stomach or small intestine
  • Nearby lymph nodes

Reasons for Procedure

This procedure is most often done to treat pancreatic cancer.

Possible Complications

If you are planning to have a pancreatectomy, your doctor will review a list of possible complications, such as:

  • Leakage of pancreatic enzymes into the abdomen
  • Damage to other organs in the abdomen

Factors that may increase the risk of complications include:

  • Obesity
  • Increased age
  • Smoking
  • Poor nutrition
  • Respiratory or cardiac disease

The pancreas produces many necessary digestive enzymes and helps regulate blood sugar. When part of the pancreas is removed, long-term complications may result, such as:

  • Diabetes
  • Malabsorption problems

Discuss these risks with your doctor before surgery.

What to Expect

You may need to have chemotherapy or radiation therapy to reduce the size of a tumor before surgery.

Leading up to the procedure, your doctor may do the following:

  • Physical exam
  • Blood tests
  • Imaging studies to better locate the cancer

Talk to your doctor about your medicines, herbs, and dietary supplements. You may be asked to stop taking some medicines up to one week before the procedure, like:

  • Aspirin and other nonsteroidal anti-inflammatory drugs, such as ibuprofen and naproxen
  • Blood-thinning drugs
  • Anti-platelet drugs

You should arrange for a ride to and from the hospital.

General anesthesia will be used. It will block any pain and keep you asleep through the surgery. It is given through an IV.

The doctor will make an incision in the abdomen. The affected part of the pancreas, as well as other affected areas, will be removed. The doctor will close the incision with stitches or staples.

Tubes may be placed that come out of the abdomen. A tube will drain fluid from the surgery site. Another tube may run from the intestines and out of the abdomen to give you nutrition.

If only a part of the pancreas needs to be removed, your doctor may do the surgery laparoscopically. Small incisions will be made and a camera will be inserted. This will help the doctor see inside the abdomen to remove the affected part of the pancreas.

You will be taken to the recovery room. While you are there, your breathing tube may be removed.

The surgery can take 4-8 hours, depending on what part or how much of the pancreas is removed.

Pain or soreness during recovery will be managed with pain medicine.

You may need to stay in the hospital from five days to three weeks. This depends on the extent of your surgery. If you have any problems, you will need to stay longer.

At the hospital, the staff will:

  • Monitor you for any problems
  • Give you medicines for pain and nausea
  • Remove the tubes as you recover and heal

When you return home, do the following to help ensure a smooth recovery:

Call Your Doctor

After you leave the hospital, contact your doctor if any of the following occurs:

  • Signs of infection, such as fever or chills
  • Redness, swelling, increasing pain, bleeding, or discharge from the incision
  • Nausea and/or vomiting
  • Pain that you are unable to control with the medicines you have been given
  • Any new concerns

In case of an emergency, call for medical help right away.