This is the least common type of surgery for pancreatic cancer and is performed when the tumors spread throughout the organ. During a total pancreatectomy, parts of the small intestine, stomach, gallbladder, spleen, and common bile duct are removed along with the entire pancreas.After the procedure, the majority of patients will stay in the hospital for one to two weeks. Patients who have had their entire pancreas removed are unable to produce insulin, which regulates blood glucose (sugar), or the digestive enzymes. Patients must therefore take extra insulin and enzymes for the rest of their lives after surgery. Depending on where the tumor is located, minimally invasive or laparoscopic surgical methods may be used during pancreatic surgery. Small abdominal incisions are made during laparoscopic procedures, and instruments guided by a telescope are inserted through them. A wider abdomen opening and a longer incision are necessary for conventional surgeries. Surgeons can usually lower the patient's risk of infection and blood loss with laparoscopic operations. You can find out if you are a candidate for a minimally invasive procedure from your surgical oncologist.
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