pancreaticoduodenectomy
Pronunciation: pan-kree-at-ih-koh-doo-oh-den-EK-toh-mee
Complex surgical procedure removing the pancreatic head, duodenum, and surrounding structures.
Full Definition
Pancreaticoduodenectomy is a major surgical procedure involving removal of the pancreatic head, duodenum, distal stomach, gallbladder, and distal bile duct, followed by complex reconstruction. This operation is the standard treatment for pancreatic head adenocarcinoma and periampullary tumors. The procedure requires meticulous technique and carries significant morbidity, with potential complications including pancreatic leak, delayed gastric emptying, and hemorrhage.
Usage
Usage note: Often abbreviated as PD; Whipple procedure is the more commonly used synonym.
In Context
- "Classical pancreaticoduodenectomy was performed for adenocarcinoma of the pancreatic head." — operative report
- "The patient developed a pancreatic leak following pancreaticoduodenectomy." — postoperative note