Taming A Surgeon’s Worst Nightmare – A Case Series Emphasizing Early Detection of Complications Following Whipple’s Resection and Their Successful Management

Rahul Kushagra; Ashwin Krishnamoorthy; Mohan Kumar R; Chandramohan K; Madhu Muralee; Mira Wagh

doi:10.55489/njmr.150220251086

Authors

Rahul Kushagra Division of Surgical Oncology, Regional Cancer Centre, Thiruvananthapuram, Kerala, India
Ashwin Krishnamoorthy Division of Surgical Oncology, Regional Cancer Centre, Thiruvananthapuram, Kerala, India https://orcid.org/0009-0006-3025-0993
Mohan Kumar R Division of Surgical Oncology, Regional Cancer Centre, Thiruvananthapuram, Kerala, India
Chandramohan K Division of Surgical Oncology, Regional Cancer Centre, Thiruvananthapuram, Kerala, India
Madhu Muralee Division of Surgical Oncology, Regional Cancer Centre, Thiruvananthapuram, Kerala, India https://orcid.org/0000-0002-0915-7368
Mira Wagh Division of Surgical Oncology, Regional Cancer Centre, Thiruvananthapuram, Kerala, India https://orcid.org/0000-0001-7375-459X

DOI:

https://doi.org/10.55489/njmr.150220251086

Keywords:

Whipple’s resection, Pancreaticoduodenectomy, Postoperative pancreatic fistula, Pseudoaneurysm, Efferent Loop Syndrome

Abstract

Pancreaticoduodenectomy (Whipple’s resection) is by far one of the most complicated procedures in surgery with tedious dissection, multiple anastomoses and a stormy postoperative course. The post operative management of these cases may be extremely challenging due to the varied nature of complications involved. Here we present a case series of 5 patients with a varied spectrum of postoperative complications. 3 patients had vascular complications, 1 had pancreatic leak and 1 had efferent loop syndrome. The various methods used to deal with such complications are described.

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