When talking about the surgical procedure of pancreases, it is hard to determine which type of surgery is best as for the same one needs to know the stage (extent) of cancer. It can be little difficult to stage pancreatic cancer accurately just using imaging tests. In order to determine the stage or the current situation of cancer many a time laparoscopy is done in the beginning.
In order to treat pancreatic cancer there are generally 2 types of surgery:
- Potentially curative surgery
It is used only when the results of exams and tests suggest that it’s possible to remove (resect) all cancer.
- Palliative surgery
This is done in the condition when the tests show that the cancer is too widespread to be removed completely. This surgery is basically done to relieve symptoms or to prevent certain complications like a blocked bile duct or intestine, but the goal is not to cure cancer.
Potentially curative surgery
According to a study, removing only a part of pancreatic cancer doesn’t help patients live longer, so potentially curative surgery is only done if the surgeon thinks all of cancer can be removed. Being a much complex surgery, it may cause complications and might take a longer period to recover. The surgery doesn’t always lead to cure but gives a realistic chance to cure the same. This is done mainly to treat cancers in the head of the pancreas. Because these cancers are near the bile duct, they often cause jaundice, which sometimes allows them to be found early enough to be removed completely.
Also known as pancreaticoduodenectomy, and is the most common operation to remove cancer in the head of the pancreas. The procedure involves the removal of the head of the pancreas and sometimes the body of the pancreas as well. The procedure is undertaken by the conventional or traditional technique. But sometimes doctors at major cancer centres also do the operation laparoscopically, which is known as keyhole surgery. Being a complex operation it carries a high risk and a lot of complications.
5 complications that you must be aware of:
- Leakage from the different connections between organs that needs to be joined
- The trouble with the stomach emptying after eating
- Trouble digesting some foods
- Unexplained weight loss
- Changes in bowel habits
The surgical procedure involves the removal of the tail of the pancreas or the tail and a portion of the body of the pancreas. It usually treats cancers found in the tail and body of the pancreas. Unfortunately, many of these tumours have usually already spread by the time they are found and surgery is not always an option.
The procedure is applied when the cancer is spread too far to be removed completely. However, any surgery being considered would be palliative i.e. intended to relieve symptoms but because of pancreatic cancer can spread quickly.
- Stent placement
The most common procedure which is aimed at relieving a blocked bile duct does not involve the actual surgery and instead, a stent is put inside the duct to keep it open.
- Bypass surgery
So, the surgical procedure can be of great use when the patient is healthy enough. So, here relieving a blocked bile duct this procedure is used to reroute the flow of bile from the common bile duct directly into the small intestine, bypassing the pancreas.
So, when suffering from any kind of pancreatic disease one can go for the pancreas surgery in India as the top cites like Delhi, Mumbai has a specialised centre for treatment.