At the beginning of the treatment, at the end of physical examination, laboratory and radiological examinations, the stage of the pancreatic tumor, its relationship with neighboring organs, especially whether it has spread to neighboring vessels and/or distant organs, and the chance of surgical removal are evaluated. Surgery cannot be performed in advanced stage tumors.
Along with the chemotherapy to be applied to these patients, some interventions can be applied to improve the comfort of life by correcting the existing jaundice, providing nutritional support and reducing pain. For this purpose, placing a tube (stent) that provides passage to the biliary tract with endoscopy from the mouth through the stomach, drainage of bile with the help of a needle placed from the abdominal skin to the bile ducts in the liver, advanced pain management techniques, in tumors that cause obstruction in the duodenum, this part is orally administered. Methods such as stent insertion by endoscopic method are used.
Surgical Treatment: If the tumor is suitable for surgical removal, classically ‘Whipple surgery’ is applied. In addition, if the tumor is located in the body and tail of the pancreas, relatively easier resection methods are applied. Surgical removal of the tumor is the only cure for these patients.
In pancreatic head tumors, surgery is more complicated since it is not possible to surgically remove only the head of the pancreas. In the applied Whipple surgery; Along with the head of the pancreas, the gallbladder, part of the main bile duct, duodenum, part of the stomach and surrounding lymph nodes are removed as a block.
Surgical Treatment of Pancreatic Cancer (Whipple Surgery) The patient’s death (mortality) or bleeding during or shortly after this surgery, in which a wide variety of organs are removed and continuity is ensured for a very long time, sutures made to ensure the continuity of the digestive system. Poor conditions (morbidity) such as leakage (fistula) may be encountered. The accepted mortality rate in the world is 5% and below. Again, the accepted rate in the world for postoperative complications is 15-20%. In our country, these rates are 5-10% mortality and 20-25% morbidity rates.