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Whipple's procedure: is it justified?

A J Robertson1, N A Collier, N D Sherson

  • 1Hepatobiliary Service, Royal Melbourne Hospital, Parkville, Victoria, Australia.

The Australian and New Zealand Journal of Surgery
|July 1, 1993
PubMed
Summary
This summary is machine-generated.

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The Whipple procedure is a valuable operation for suitable patients when performed by experienced surgeons, requiring careful technique and postoperative care. This review found acceptable morbidity and survival rates, with infrequent pancreatic anastomosis leakage.

Area of Science:

  • Gastroenterology
  • Surgical Oncology
  • Hepatobiliary Surgery

Background:

  • The Whipple procedure's appropriateness remains debated in surgical practice.
  • Experienced surgeons and careful patient selection are crucial for successful outcomes.

Purpose of the Study:

  • To evaluate the efficacy and safety of the Whipple procedure in a series of patients.
  • To assess morbidity, mortality, and survival rates associated with the operation.

Main Methods:

  • Retrospective review of 27 Whipple operations.
  • Analysis of intra-operative techniques and postoperative care.
  • Evaluation of anastomotic techniques and complication rates.

Main Results:

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  • Major morbidity observed in 26% of cases.
  • Pancreatic anastomosis leakage occurred in 11% of patients.
  • No peri-operative deaths and a 63% five-year actuarial survival rate were recorded.

    • Conclusions:

    • The Whipple procedure is a worthwhile operation when performed by experienced surgeons on selected patients.
    • Meticulous surgical technique and diligent postoperative care are essential.
    • The study demonstrates acceptable outcomes regarding morbidity and survival.