Pancreatic cancer and diseaes

hpbThe pancreatic cancer is 7th most common cancer in the US. It has one of the worst prognosis even after treatment in compare to other cancers. Dr. Singh perform both open and laparoscopic pancreatic surgery.

The pancreas is about 5-7 inches long, and sits across the back of the abdomen, behind the stomach. Though it is considered as inside the abdomen, technically it is actually behind all intra abdominal or intra peritoneal organs. The head of the pancreas is on the right side of the abdomen and is connected to the duodenum (the first section of the small intestine) through a small tube called the pancreatic duct. The narrow end of the pancreas, called the tail, extends to the left side of the body.

pancreas anatomy, Gajendra Singh MD, Forsyth Surgical Associates Winston Salem, NC

Surgical diseases of pancreas

  • Pancreatic cancer: The pancreas has many different types of cells, each of which can give rise to a different type of tumor. The most common type arises from the cells that line the pancreatic duct. Because there are usually few vague or no early symptoms, pancreatic cancer is often advanced by the time it’s discovered. Most common pancreatic cancer surgery is Whipple procedure or Whipple surgery for the cancer in the head of the pancreas. Also, for the cancer of the body or tail of the pancreas Dr. Singh can do laparoscopic distal pancreatectomy.
  • Pancreatitis: The pancreas becomes inflamed and damaged by its own digestive chemicals. Swelling and death of tissue of the pancreas can result. Alcohol and gall stones are considered the most common cause of pancreatitis. It can be acute or chronic pancreatitis.
  • Pancreatic pseudocyst: After a bout of pancreatitis, a fluid-filled cavity called a pseudocyst can form. Pseudocysts may resolve spontaneously, or they may need surgical drainage.
  • Islet cell tumor: The hormone-producing cells of the pancreas multiply abnormally, creating a benign or cancerous tumor.  These tumors produce excess amounts of hormones and then release them into the blood. Gastrinomas, glucagonomas, and insulinomas are examples of islet cell tumors.

Treatment for pancreatic cancer and diseases

Above mentioned are some of the most common diseases of the pancreas which can be resolved by surgery. He often performs laparoscopic pancreatic resection and spleen preserving laparoscopic pancreatic resections.