Sarah J. Kerr, BA
The pancreas is a long, flat, pear-shaped organ located behind the stomach. It makes digestive enzymes and hormones, including insulin.
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:
This procedure is done to treat certain health conditions, such as
or pancreatic necrosis due to
Problems from the procedure are rare, but all procedures have some risk. Your doctor will review potential problems, like:
Before your procedure, talk to your doctor about ways to manage factors that may increase your risk of complications such as:
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:
You may need to have
to reduce the size of a tumor before surgery.
Leading up to the procedure, your doctor may do the following:
Talk to your doctor about your medications. You may be asked to stop taking some medications up to 1 week before the procedure.
You should arrange for a ride to and from the hospital and have someone stay with you the first night.
will be used. You will be asleep through the surgery.
An incision will be made in the abdomen. The affected part of the pancreas, as well as other affected areas, will be removed. The incision will be closed 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.
The surgery can take 4-8 hours, depending on what part or how much of the pancreas is removed.
Anesthesia will block pain during the procedure. You will have pain after the procedure. Ask your doctor about medication to help manage pain.
You may need to stay in the hospital from 5 days to 3 weeks. This depends on the extent of your surgery. If you have any problems, you will need to stay longer.
Right after the procedure, you will be in a recovery room where your blood pressure, pulse, and breathing will be monitored. Recovery may also include:
You will be encouraged to be mobile as soon as possible. This start as soon as the first day after your surgery.
During your stay, the hospital staff will take steps to reduce your chance of infection such as:
There are also steps you can take to reduce your chances of infection such as:
When you return home, take these steps:
Call your doctor if any of these occur:
If you have symptoms of diabetes, call your doctor. You may need to have your insulin dose adjusted. Symptoms include:
If you think you have an emergency, call for emergency medical services right away.
National Cancer Institute
Pancreatic Cancer Action Network
Canadian Cancer Society
Pancreatic Cancer Canada
Allendorf J. Surgical options. The Pancreas Center. Columbia University Medical Center website. Available at:
http://www.columbiasurgery.org/media/lectures/pancreas_awareness_20101113.pdf. Published November 13, 2010. Accessed December 9, 2014.
Pancreatic cancer. American Cancer Society website. Available at:
http://www.cancer.org/acs/groups/cid/documents/webcontent/003131-pdf.pdf. Updated June 11, 2014. Accessed December 9, 2014.
Learn about pancreatic cancer: surgery. Pancreatic Cancer Action Network website. Available at:
http://www.pancan.org/section_facing_pancreatic_cancer/learn_about_pan_cancer/treatment/surgery. Accessed December 9, 2014.
Pancreatic cancer. EBSCO DynaMed website. Available at: https://dynamed.ebscohost.com/about/about-us. Updated December 4, 2014. Accessed December 9, 2014.
Surgical techniques for pancreas preservation. Center for Pancreatic and Biliary Diseases, University of Southern California website. Available at:
http://www.surgery.usc.edu/divisions/tumor/pancreasdiseases/web%20pages/pancreas%20resection/ORGAN%20PRESERVATION.html. Accessed December 9, 2014.
Last reviewed December 2014 by Michael Woods, MD
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