Pancreatic Surgery Singapore

Pancreatic Resection Surgeries (Tumor & Cancer)

Pancreaticoduodenectomy (Whipple Procedure)

• Standard procedure for tumors in the head of the pancreas.

• Involves removal of the pancreatic head, duodenum, gallbladder, and bile duct.

 

Distal Pancreatectomy/ Subtotal Pancreatectomy/ Radical Antegrade Modular Pancreato-splenectomy (RAMPS)

Removal of the pancreatic body and tail (left-sided tumors)

• Often combined with splenectomy (removal of the spleen).
   

Total Pancreatectomy

• Removal of the entire pancreas, duodenum, gallbladder, bile duct, and spleen.

• Used in widespread pancreatic cancer or genetic pancreatic diseases.

 

Central Pancreatectomy

• Preserves pancreatic function by removing a tumor in the mid-pancreas while keeping the head and tail.
   

Enucleation of Pancreatic Tumors

• Minimally invasive removal of small, benign tumors (e.g., insulinomas) without affecting major pancreatic function.

 

Minimally Invasive Pancreatic Surgeries

• Laparoscopic Pancreatectomy – Minimally invasive technique for tumors or cysts.

• Robotic Pancreatectomy – Robotic-assisted removal for better precision.

• Laparoscopic Enucleation – Keyhole surgery to remove small, benign pancreatic tumors.

 

Drainage & Bypass Surgeries (Pancreatitis & Obstruction)

• Pancreatic Pseudocyst Drainage

• Laparoscopic or Open Cystogastrostomy/Cystojejunostomy – Surgical connection of the cyst to the stomach/intestine for drainage.

 

Lateral Pancreaticojejunostomy (Puestow Procedure)

• Longitudinal opening of the main pancreatic duct to the small intestine.

• Used for chronic pancreatitis with ductal obstruction.
   

Frey’s Procedure

• Combines pancreatic head decompression with a lateral pancreaticojejunostomy.

• Used for chronic pancreatitis with pancreatic head enlargement.

 

Beger’s Procedure

• Partial removal of the pancreatic head with reconstruction.

• Used for chronic pancreatitis when the pancreatic head is the main issue.

 

Duodenum-Preserving Pancreatic Head Resection (DPPHR)

• Includes Beger’s and Frey’s techniques but preserves the duodenum.

• Alternative to Whipple in chronic pancreatitis.

 

Pancreatic Trauma & Miscellaneous Surgeries

• Damage Control Surgery for Pancreatic Injury – Emergency surgery for pancreatic trauma

• Drain Placement for Pancreatic Fistula – Prevents leakage of pancreatic fluids.

• Pancreatic Necrosectomy – Surgical removal of dead (necrotic) pancreatic tissue in severe pancreatitis.