Whipple's Procedure (Pancreaticoduodenectomy)
OPERATION: Pancreaticoduodenectomy (Whipple's Procedure) [/ Pylorus-Preserving Pancreaticoduodenectomy]
ANAESTHETIC: General anaesthesia with epidural
ANTIBIOTICS: Gentamicin and Metronidazole at induction
POSITION: Supine. VTE prophylaxis. Urinary catheter. NG tube.
INDICATION:
[Pancreatic head / periampullary / duodenal / distal bile duct cancer / chronic pancreatitis]. Staging confirmed resectable. Consent including discussion of significant morbidity and mortality.
INCISION: Upper midline / bilateral subcostal (rooftop).
PROCEDURE: