What is the surgical treatment for obstructive jaundice secondary to periampullary cancer
The surgical treatment for obstructive jaundice secondary to periampullary cancer typically involves a procedure known as pancreaticoduodenectomy or Whipple procedure. This surgery involves the removal of the head of the pancreas, part of the small intestine (duodenum), gallbladder, and bile ducts. It may also involve removing a portion of the stomach and lymph nodes in the area.
During the surgery, the surgeon reroutes the remaining pancreas, bile duct, and small intestine to restore the flow of bile and digestive juices. This relieves the obstruction and helps in the resolution of jaundice.
The Whipple procedure is a complex surgery and requires expert surgical skills. It is often performed by a multidisciplinary team of surgeons, gastroenterologists, and oncologists. Additionally, the patient may need chemotherapy or radiation therapy both before and after the surgery to improve outcomes and reduce the risk of cancer recurrence.