Talk:Pancreaticoduodenectomy

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[edit] 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)

[edit] 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)

[edit] 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)

[edit] 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.)