Total Pancreatectomy

This operation, which takes from 4 to 6 hours, is a combination of the Whipple procedure and a distal pancreatectomy such that entire pancreas is removed with the first portion of the small intestine called the duodenum, and the gallbladder.  Often the spleen is removed as well.  Once the tumor and the organs are removed, the bile duct and the stomach are reconnected to the small intestine.

Patients who have their entire pancreas removed will have a lifelong dependence on insulin to control their blood sugar, and oral pancreatic enzymes to properly digest their food.