PANCREATICODUODENECTOMY (WHIPPLE PROCEDURE)
Indication: Carcinoma of the head of the pancreas, periampullary tumour (ampullary, duodenal, or distal bile duct carcinoma), or other resectable lesions of the pancreatic head/uncinate process. Pre-operative resectability assessed on CT angiography — no arterial involvement, SMV/portal vein reconstructable.
Patient Position: Supine.
Anaesthesia: General (with or without epidural).
Prophylactic Antibiotics: Per protocol.
Incision: Midline laparotomy or bilateral subcostal (Mercedes). Laparoscopic/robotic approaches in specialist centres.