(Central Pancreatectomy; Distal Pancreatectomy; Total Pancreatectomy)
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- Part of the stomach or small intestine
- Nearby lymph nodes
Reasons for Procedure
- Leakage of pancreatic enzymes into the abdomen
- Damage to other organs in the abdomen
- Chronic disease such as diabetes or obesity
- Poor nutrition
- Malabsorption problems
What to Expect
Prior to Procedure
- Physical exam
- Blood tests
- Imaging studies to better locate the cancer or area of necrosis
- Anti-inflammatory drugs
- Blood thinners
Description of the Procedure
How Long Will It Take?
How Much Will It Hurt?
Average Hospital Stay
- Pain medications
- Antibiotics to prevent infection
- Medication to prevent blood clots
- Washing their hands
- Wearing gloves or masks
- Keeping your incisions covered
- Washing your hands often and reminding visitors and healthcare providers to do the same
- Reminding your healthcare providers to wear gloves or masks
- Not allowing others to touch your incisions
- Depending on how much of your pancreas was taken, it may not make adequate amounts of enzymes for your body. If this is the case, your doctor may recommend a special diet, supplements, or other medications.
- Follow your doctor’s instructions for cleaning the incision site.
- Ask your doctor about when it is safe to shower, bathe, or soak in water.
Call Your Doctor
- Signs of infection, such as fever or chills
- Redness, swelling, increasing pain, bleeding, or discharge from the incision
- Pain that you can't control with the medications you've been given
- Persistent nausea or vomiting
- New or worsening diarrhea—this may indicate you are not digesting enzymes properly
- Extreme thirst
- Frequent urination
- Difficulty controlling urination
- Increased urination at night
- Extreme hunger
- New or worsening fatigue
- Blurred vision
- Numbness or tingling in hands or feet
- Sores that heal slowly, especially in the legs or feet
National Cancer Institute http://www.cancer.gov
Pancreatic Cancer Action Network http://www.pancan.org
Canadian Cancer Society http://www.cancer.ca
Pancreatic Cancer Canada http://www.pancreaticcancercanada.ca
Allendorf J. Surgical options. The Pancreas Center. Columbia University Medical Center website. Available at: http://www.columbiasurgery.org/media/lectures/pancreas%5Fawareness%5F20101113.pdf. Published November 13, 2010. Accessed December 5, 2013.
Pancreatic cancer. American Cancer Society website. Available at: http://www.cancer.org/acs/groups/cid/documents/webcontent/003131-pdf.pdf. Accessed December 5, 2013.
Learn about pancreatic cancer: surgery. Pancreatic Cancer Action Network website. Available at: http://www.pancan.org/section%5Ffacing%5Fpancreatic%5Fcancer/learn%5Fabout%5Fpan%5Fcancer/treatment/surgery. Accessed December 5, 2013.
Pancreatic cancer. EBSCO DynaMed website. Available at: https://dynamed.ebscohost.com/about/about-us. Updated December 2, 2013. Accessed December 5, 2013.
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 5, 2013.
- Reviewer: Michael Woods, MD
- Review Date: 12/2013 -
- Update Date: 01/28/2014 -