Our Summary

This study compares the effectiveness and costs of two types of pancreas surgeries: laparoscopic pancreatoduodenectomy (LPD) and open pancreatoduodenectomy (OPD). The research looked at 140 patients who had these surgeries between 2010 and 2019.

The results showed that LPD, which is a less invasive procedure, had fewer complications than OPD. Specifically, the LPD group had fewer lung-related complications. The quality of the cancer removal (R0 resection) was the same for both groups.

However, the LPD procedure took longer to perform than the OPD. Despite this, patients who had the LPD surgery spent less time in the hospital and the overall cost of their hospital stay was lower.

In simple terms, the study concludes that even though LPD takes longer to perform, it’s a better choice because it has fewer complications, patients recover faster (shorter hospital stay), and it’s cheaper.

FAQs

  1. What are the differences between laparoscopic pancreatoduodenectomy (LPD) and open pancreatoduodenectomy (OPD)?
  2. Does the LPD procedure have fewer complications than the OPD procedure?
  3. Is the overall hospital stay and cost lower for patients who undergo the LPD procedure compared to the OPD procedure?

Doctor’s Tip

A helpful tip a doctor might tell a patient about Whipple procedure is to discuss with their healthcare provider the option of laparoscopic pancreatoduodenectomy (LPD) as it may result in fewer complications, a shorter hospital stay, and lower overall costs compared to open pancreatoduodenectomy (OPD). It’s important to weigh the benefits and risks of each procedure with your doctor to determine the best treatment plan for you.

Suitable For

Patients who are typically recommended for a Whipple procedure, also known as a pancreatoduodenectomy, include those with:

  • Pancreatic cancer
  • Periampullary tumors (tumors located near the ampulla of Vater)
  • Chronic pancreatitis
  • Pancreatic cysts or tumors
  • Neuroendocrine tumors of the pancreas

Overall, the decision to recommend a Whipple procedure depends on the specific diagnosis and stage of the disease, as well as the patient’s overall health and ability to tolerate surgery.

Timeline

Before the Whipple procedure:

  • Patient is diagnosed with a pancreatic or bile duct tumor
  • Patient undergoes various tests such as CT scans, MRIs, and blood tests to determine the stage of the cancer
  • Patient may undergo chemotherapy or radiation therapy to shrink the tumor before surgery
  • Patient meets with surgeons and medical team to discuss the procedure and potential risks

After the Whipple procedure:

  • Patient is monitored in the hospital for several days to monitor for any complications
  • Patient may experience pain, fatigue, and difficulty eating in the weeks following surgery
  • Patient may need to follow a special diet and take medications to aid in digestion
  • Patient will have follow-up appointments with their medical team to monitor recovery and discuss any further treatment options

Overall, the Whipple procedure is a complex surgery that requires careful planning and monitoring before and after the procedure to ensure the best possible outcome for the patient.

What to Ask Your Doctor

  1. What are the potential risks and complications associated with the Whipple procedure?

  2. How experienced are you in performing the Whipple procedure?

  3. How long will the surgery take to perform?

  4. What is the expected recovery time and rehabilitation process after the procedure?

  5. Will I need any additional treatments or therapies after the surgery?

  6. What is the success rate of the Whipple procedure for my specific condition?

  7. Are there any alternative treatment options to consider?

  8. How will the Whipple procedure affect my quality of life in the long term?

  9. What can I do to prepare for the Whipple procedure and improve my chances of a successful outcome?

  10. How will the cost of the Whipple procedure be covered by my insurance or healthcare provider?

Reference

Authors: Borie F, Pichy C, Nayeri M, Fall S. Journal: J Laparoendosc Adv Surg Tech A. 2022 Oct;32(10):1048-1055. doi: 10.1089/lap.2021.0606. Epub 2022 Jul 12. PMID: 35833839