Whipple Procedure: A 5-year Clinical Experience in Tertiary Care Center
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The study was conducted in tertiary care hospital of Lahore. Patient undergoing Whipple procedure were studied by compiling demographic details of the patients, common presenting symptoms, various indications for Whipple's procedure, the cofactors which affect the procedures outcome and morbidity and mortality of the patients.
Condition or disease
Procedure: Whipple Procedure
This study was performed by collecting data through predesigned questionnaire about patients undergoing Whipple's procedure from operation theatres and medical record section. Those patients, whose tumor was unresectable and undergone palliative surgical procedures were excluded from the study.
Patients underwent Whipple procedure for pancreatic tumors. The procedure commenced with rooftop incision. then layers of abdomen dissected to reach the peritoneum. Then Duodenum dissected out along with pancreas and common bile duct. After rescetion of these structures the anatomy of the tract restored with three anastomosis namely pancreaticojejunostomy, gastrojejunostomy and choledochojejunostomy/hepaticojejunostomy.
Percentage of patients developing pancreatic fistula [ Time Frame: 4 weeks ]
Percentage of patients developing pancreatic fistula (pancreatic juice collected in drain rich in amylase) after Whipple procedure Enteric leak postoperative complications like pancreatic fistula, anastomotic leakage, hemorrhage, wound infection,mortality
Percentage of patients developing hemorrhage [ Time Frame: 2 weeks ]
Percentage of patients developing hemorrhage after Whipple procedure
Percentage of patients developing wound infection [ Time Frame: 4 weeks ]
Percentage of patients developing wound infection after Whipple procedure
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Layout table for eligibility information
Ages Eligible for Study:
20 Years to 70 Years (Adult, Older Adult)
Sexes Eligible for Study:
Accepts Healthy Volunteers:
patients of both sexes with age ranging from 20 years to 70 years
patients with pancreatic tumors
patients with adequate cardiorespiratory reserves to be fit for prolong general anesthesia