Talk:Pancreaticoduodenectomy

Wiki Education Foundation-supported course assignment

This article is or was the subject of a Wiki Education Foundation-supported course assignment. Further details are available on the course page. Student editor(s): Pas94110, Ucdbhoff. Peer reviewers: Stargenesis5, Wdkeenan.

Above undated message substituted from Template:Dashboard.wikiedu.org assignment by PrimeBOT (talk) 06:04, 17 January 2022 (UTC)

Merge Proposal

I suggest merging this page with pancreaticoduodenectomy --Iglesias 01:50, 26 Dec 2004 (UTC)

I disagree. With the advent of new variations on the pancreaticoduodenectomy, the Whipple should remain differentiated from the others. 130.64.107.169 20:40, 21 November 2005 (UTC)Bouffard

Wikipedia is not really a medical textbook, but an encyclopedia, and I do not think that every individual variation of every surgical procedure should have its own article. If we follow this line of thought, why stop at one article for gastrectomy if we could have articles for subtotal gastrectomy, hemigastrectomy, antrectomy, sleeve gastrectomy, total gastrectomy, proximal subtotal gastrectomy and esophagogastrectomy? But, IMHO, that way madness lies.--Iglesias 21:15, 19 January 2006 (UTC)

Support keeping separate articles, per Bouffard. --Arcadian 23:03, 19 January 2006 (UTC)

I am a surgical resident, and I think that "Whipple Procedure" should redirect to "Pancreaticoduodenectomy." Although there are different types of pancreaticoduodenectomies, in the surgical community the term "Whipple" is still used casually to refer to any pancreaticoduodenectomy. In fact, a true Whipple is never performed today, it's a modification of it. So I think that for the general public, the articles should be merged, with an explanation of the different variations being in the article. Tulane97 19:25, 30 January 2006 (UTC)

I completely agree. I added the redirect yesterday for "Whipple Surgery", however someone removed it without commenting on why. Modeps 11:47, 31 January 2007 (UTC)

I agree with the merge. Ewlyahoocom 08:24, 4 February 2006 (UTC)

Possible avenues to expand article

Things the article does not address and that I did not look up yet include:

• The explanation as to why the duodenum must be removed (due to a shared blood supply) is quite good. However, this should be expanded to explain why organs other than the pancreas and duodenum are removed (e.g., gall bladder). I assume, and the article hints, that these other organs are included in the procedure from an oncology point of view to help ensure all of the cancer has been removed. If this is true, let's add it and find citable sources.
• Explanation that this procedure is of no benefit if the cancer has spread beyond the pancreas, which often occurs due to the nature of the disease (e.g., fast spread, and close proximity of organs to the pancreas, by the time symptoms are apparent the cancer has spread).
• Any other ideas on how the article could be expanded upon? --ShaunMacPherson 09:46, 22 July 2007 (UTC)

Contradiction: Mortality Rate

Good day.

From the article, in the "Pancreaticoduodenectomy in modern medicine" section:

• Using modern operating techniques, mortality from a Whipple procedure is around 5% nationwide (<2% in high volume academic centers).

From the "Morbidity and mortality" section:

• Mortality rates are improved in high-volume hospitals, however this procedure still carries a significant degree of risk (~10%).

One appears to indicate that the mortality rate is less than 2% in high-volume hospitals, the other indicates near 10%.

I marked the "Morbidity and mortality" section as contradictory. -- Irixman ^{(t) (m)} 14:57, 20 September 2007 (UTC)

Pancreatoduodenectomy or pancreaticoduodenectomy?

I suggest that this page (Pancreaticoduodenectomy) should be moved to Pancreatoduodenectomy (new page). Both terms are frequently used (synonymously), and although the variant pancreatico- is most common, pancreato- is more appropriate since this refers to resection of the pancreatic gland and not only the pancreatic duct. A recent, excellent article on this name conflict appeared in Surgery, September 2007 (Fingerhut et al, What is in a word: Pancreatoduodenectomy or pancreaticoduodenectomy?). I believe Wikipedia by moving the page to the suggested location could contribute in establishing a rational nomenclature for this surgical procedure. --Westgaard (talk) 16:25, 28 February 2008 (UTC) (MD, research scholar, pancreatic cancer.)

Move proposal

As I said one year ago, this article should be moved to Pancreatoduodenectomy, whereas Pancreaticoduodenectomy should redirect to the former. Doesn't anyone have an opinion on this regard? Administrators, perhaps you would consider moving this article as I suggested? The article by Fingerhut et al explains the reasons why pancreatoduodenectomy (without -ic-) is the appropriate term. --Westgaard (talk) 09:29, 4 March 2010 (UTC)

List of notable people who have had this surgery?

Seriously? There is a list of notable people in an article about an surgical procedure, I don't really get the point of putting these people here this is Wikipedia not a Boulevard magazine, there is no relevance in which famous person had which operation. I don't know how that works here, but could someone please remove that? DeadlySlayer (talk) 00:02, 11 July 2012 (UTC)

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Plan for article editing December 2017

Hi All,

We are UCSF medical students working on editing this page as part of a medical school course (pas94110, ucdbhoff). Below we have outlined our goals and plan for improving this article.

Goal #1: Improve readability of article. Our initial assessment of the article is that the language is at times redundant and unclear. We will work on improving sentence structure and grammatical correctness, with the goal of establishing a 9th grade reading level of the text.

Goal #2: Make structure of the article consistent with WikiProject Medicine guidelines Currently, the Pancreaticoduodenectomy article lacks several of the subsections recommended in the guidelines for "surgery/procedure articles". We will establish these subsections as appropriate(Medical uses, Contra-indications, Risks/Complications, Technique (avoid step-by-step instructions), Recovery or Rehabilitation, History (e.g., when it was invented), Society and culture (includes legal issues, if any)), and start a conversation on the talk page to expand these subsections with appropriate content.

Goal #3: Make anatomic description of the procedure more comprehensive The article currently contains a subsection titled "Anatomy involved in the procedure." We feel this article would be better organized if the anatomy of this procedure were to be described in the context of the surgical technique. This subtopic requires more comprehensive coverage. We will expand the content to include a brief overview of the surgical technique, and relevant surgical anatomy including vascular supply to the affected organs. We will also include images (photographs and graphics) that we feel will clarify the anatomy for a lay reader, as well as a surgical student.

Goal #4: Improve "Medical uses" subsection Currently, the "Medical uses" subsection includes variations of the surgical technique, and content regarding morbidity/mortality. We will improve the organization, so that medial indications for the Whipple procedure are included under this subheading. Also, there is a lack of references to the literature, which we will attempt to remedy.

We welcome feedback and discussion on our workplace. Pas94110 (talk) 01:13, 26 November 2017 (UTC)

Hi all - I am in the process of editing the "Medical indications" subsection, which conforms with the Wikiproject Medicine style guidelines. I have temporarily created a subsection "Surgical considerations", which is not consistent with Wikiproject Medicine. I feel this information is important and warrants inclusion, but probably needs to go into a different subheading. Pas94110 (talk) 13:04, 5 December 2017 (UTC)

Peer Feedback for article editing December 2017

Hi Pas94110,

Hope you're doing well! These are my peer-review feedback/questions for the entire article.

• The procedural anatomy explanation was excellent. It has just the right level of complexity. I felt that I understood the reasoning behind what was resected and what was not based on blood supply.
• I thought that the language used is accessible to a wide audience. Key terms were hyperlinked appropriately.
• The order of sections presented was logical and clear.

Some suggestions/questions:

• Why is retroperiteonal lymphadenectomy controversial?
• “Pylorus-sparing pancreaticoduodenectomy versus standard whipple procedure” could be merged with “Pylorus-sparing pancreaticoduodenectomy” since you do compare the two in that section anyways.

     Thanks, I agree Pas94110 (talk) 15:20, 15 December 2017 (UTC)

• I was wondering if you were going to discuss common complications under “Morbidity and Mortality.”
• I would like to know more about any considerations after recovery from surgery.

    I have started to add some post-operative recovery information. Pas94110 (talk) 16:27, 15 December 2017 (UTC)

• Why are there doubts that pylorus-sparing pancreaticoduodenectomy is an adequate operation from an oncological point of view if long-term survival is similar? I guess I would like more clarification on this point.
• It would be great if some post-op survival data could be included esp. for pancreatic cancer.

Let me know if you have any questions!

Thanks,

StrG5 04:06, 13 December 2017 (UTC)