My wife is having a Whipple!!!!

Nurses General Nursing

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My wife is undergoing a partial pancreatectomy. The MD is unsure if they will be doing the Whipple, Mesopancreatectomy, or Distal pancreatectomy. My question is, Have any nurses on this forum seen a good outcome with the Whipple, I really would like to here something positive.

A Little backround. Approximately a month post c-section my wife began having back pain accompanied by severe nausea. I insisted that we go the ER since it could be a complication after the surgery. A PE study was performed and that is when we found a 3 cm mass on her Pancreas. It was calcified, so we were really worried much. We followed up with an MRI which showed us less than the CT, so we followed up with a gastroenterologist who recommended a endoscopic ultrasound with small needle aspiration of the pancreas. The biopsy showed that the mass was benign, however it was obstructing the pancreatic duct. The tumor is a pseudopapillary tumor. The GI doc recommended removal of the tumor d/t the nature of it's location and they are finding that these are turning into cancer in some patients. So here we are, facing a partial pancreatectomy. All of this has happened within the last month. Please give me some feedback, I want some real answers not the surgeons smiley, everything is going to be ok attitude. (I do expect everything will be ok)

Specializes in Acute Care Cardiac, Education, Prof Practice.

Our floor sees about five whipples a month. They are a complicated surgery, but I have seen the majority of them go very well.

Best of luck!!

Tait

Specializes in Operating Room Nursing.

We do them regularly where I work. The ones with poor outcome have metastases, the cancer has spread from the head of the pancreas and they usually proceed to a biliary bypass, which is more palliative. But I've seen some successful Whipples as well. It would be about 50%.

It usually takes the team about 4-6 hours to do a full Whipples. The cytology people come in and we take fresh specimens, they are tested in the OR and depending on the results we do the Whipples or biliary bypass.

Best of luck to your wife, let us know how it all turns out.

Specializes in Operating Room Nursing.

sorry double post

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