PANCREATIC SURGERIES

The pancreas is a complex organ essential for digestion and hormonal balance, and pancreatic disorders can be life-threatening if not managed appropriately. Surgical intervention often plays a critical role in treating pancreatic cancers, chronic pancreatitis, traumatic injuries, and cystic lesions. At Gut Instincts, we specialize in advanced pancreatic surgeries that combine precision, minimally invasive techniques when possible, and personalized care to optimize outcomes. Our approach ensures that patients receive the most effective treatment while minimizing complications and supporting recovery.​

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Whipple procedure (pancreaticoduodenectomy)
The Whipple procedure is a complex surgery primarily performed for tumors located in the head of the pancreas, distal bile duct, or duodenum. It involves removing the head of the pancreas, part of the small intestine (duodenum), gallbladder, and sometimes part of the stomach. The remaining pancreas, bile duct, and intestines are then carefully reconnected to restore digestive continuity. This procedure requires meticulous surgical planning and postoperative care but offers the best chance of cure or long-term survival in selected patients with pancreatic cancer or periampullary tumors.
 

Distal pancreatectomy (open or laparoscopic)
Distal pancreatectomy involves the removal of the body and tail of the pancreas, often performed for tumors or cysts located in these regions. The spleen may be preserved or removed depending on the disease. Laparoscopic approaches are increasingly used for eligible patients, offering benefits such as smaller incisions, reduced pain, and faster recovery, while maintaining surgical precision.
 

Pancreatic necrosectomy (open or laparoscopic)
Pancreatic necrosectomy is indicated in cases of severe acute pancreatitis where pancreatic tissue has become infected or necrotic. The procedure involves removing the dead tissue to prevent systemic infection and organ failure. Both open and minimally invasive approaches are employed depending on the extent of necrosis and patient condition, with careful postoperative monitoring to manage complications like pancreatic fistula or bleeding.
 

Cysto-gastrostomy for pancreatic cyst (open or laparoscopic)
Cysto-gastrostomy is a surgical procedure used to drain pancreatic pseudocysts or fluid collections that are symptomatic, infected, or enlarging. The cyst is connected to the stomach (or sometimes small intestine) to allow internal drainage. Laparoscopic techniques reduce recovery time and postoperative discomfort, making it a preferred option for eligible patients.
 

Frey’s or Pancreato-jejunostomy procedure for chronic pancreatitis
Frey’s procedure combines the removal of diseased pancreatic tissue from the head with drainage of the pancreatic duct through a jejunal connection. This is primarily indicated for chronic pancreatitis patients suffering from intractable pain or complications such as ductal obstruction. The surgery relieves pain, preserves pancreatic function, and improves the patient’s quality of life. Pancreato-jejunostomy alone may be performed when drainage of the pancreatic duct is required without extensive tissue removal.
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Surgery for pancreatic trauma
Pancreatic trauma can result from blunt or penetrating abdominal injuries and may involve ductal disruption or tissue destruction. Surgical management depends on the severity and location of the injury. Options include distal pancreatectomy, repair of ductal injuries, or debridement with drainage. Prompt surgical intervention is crucial to prevent complications such as pancreatic fistula, infection, or pancreatitis.