SURGICAL OPERATIONS ON THE PANCREAS
PANCREATIC - DUODENECTOMY (DCP)
Average hospitalization is of 10 to 12 days.
This is a very complex operation and in which complications are relatively frequent. The course may therefore also need reoperation or complex therapies.
For these reasons, the length of stay can last up to 20-30 days.
This intervention provides assistance and monitoring in intensive care in the first 24 hours post-operation.
TRADITIONAL LEFT PANCREATICOSPLENECTOMY
Hospitalization is 8 to 10 days long.
Less frequent complications, very rare reoperation, sometimes it is necessary to maintain a drainage in place and review the patient outpatient after 1-2 weeks. In this period the patient is usually accommodated in the hotel, because a hospital environment is not needed.
LAPAROSCOPIC AND/OR ROBOTIC PANCREATICOSPLENECTOMY
This is a previous operation performed with a minimally invasive technique that allows a more rapid recovery of the patient. Inpatient time 8 days.
Robotic surgery in our center is constantly developing and increasingly expanded indications.
Less frequent intervention that involves the combination of the two previous interventions. Monitoring in Intensive Care for the first 24 hours. Average length of stay is 10 days. Small number of complications. It may require 2-3 days of additional hospitalization to balance diabetes following the operation
New technique in the validation phase of which our group is a world leader in experience and clinical studies. There is no intervention but only an endoscopic procedure under general anesthesia performed in the operating room. It is proposed to patients with non-operable cancer but without metastasis (30-40%). It is always associated with chemo and radiotherapy and can be performed before or even after chemotherapy. For this reason it is recommended to re-evaluate these patients in our center even after treatment. Inpatient time 3 days No complications.
RADIOLOGICAL OR ENDOSCOPIC DRAINAGE OF THE BILIARY TRACT
Often the disease presents with jaundice from biliary obstruction that must be resolved with positioning of biliary prosthesis both in case of intervention to be programmed and in case of non-operability. The procedure can be performed endoscopically or with percutaneous radiological access. Inpatient time 3-5 days This maneuver can be integrated in course of treatment of the patient that cannot be operated, prolonging the hospitalization for 3 days.
ECONDOSCOPIC STUDY WITH BIOPSY
Rapidly developing method both in the study of solid tumors but also in that of cystic tumors (pathology of increasingly frequent observation). In the northern countries cystic tumors are a social problem due to their increasing frequency (10% of the population aged> 70 years). In young subjects it is the pathology with more frequent monitoring in the clinic. Almost always, non-specialist doctors confuse them with pancreatic tumors. For this reason they generate anxiety in the patients and willingness to deepen the diagnosis by turning to specialized centers. These subjects must be kept in semi-annual or annual follow-up for many years. You could think of a short path for these patients: 3 days type hospitalization.
PANCREATIC CYSTIC LESIONS PACKAGE
The above-mentioned surgery procedures are inherent in the multi-specialist approach that involves specialists dedicated only to pancreatic diseases.
• MRI abdomen +
• colangioRM +
• echoing with biopsy (EUS-FNA) and
• surgical evaluation with definition of the follow-up program (which could be set by us)
The added value of these proposals is inherent in the multidisciplinary approach that involves specialized figures dedicated only to diseases of the pancreas.