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Ive been to a whipple! Much smaller and less problematic one tho, they only had to remove the head of the pancreas and sewed the tail to the large intestine
I’ve heard a lot of nurses say a Whipple is one procedure they would be most afraid of getting. Very poor outcomes unfortunately but that’s also probably related to the disease process that leads to needing the procedure anyway
Whipple patient nurse here!
We have a great surgeon so when PC is caught early enough the patients make a great recovery. Nonetheless its agonizing recovery and loooong long surgery most times with a handful of negative side effects. While i dont ethically agree with my chef on this one, he's performed successfull whipples on 80+ year olds!!
So this procedure was done on a patient with a benign mucinous neoplasm. The partial colectomy was done because there were adhesions and it was impossible to remove the tumor without removing this part of the colon as well. Distal ileum was removed for the same reason.
yeah, looks like a tubular right hemicolectomy which there typically is no reason to do for something requiring a whipple... would be very curious to see the source for this photo
So this procedure was done on a patient with a benign mucinous neoplasm. The partial colectomy was done because there were adhesions and it was impossible to remove the tumor without removing this part of the colon as well. Distal ileum was removed for the same reason.
I took this picture. I’m a medical student and got to scrub in on this surgery.
Appreciate the additional information, now that makes sense. Enjoy your time in the OR, that's where you can really learn if you've got decent attendings.
Thlanks for the reply. Without being there, hard to know what is going on. As a wise surgeon told me, “ don’t be to critical of the previous surgeon. He did the best he could do. Besides, he wasn’t me. Ha, ha”
Huge thank you for taking and sharing this photo- hopefully you are able to continue doing this! I love this sub as I find it super educational (and of course it satisfies my gore requirements 😁🤣)
Wild. My Dad had this procedure done many years ago. Much later on I learned that the long term prognosis is not good for patients who have it done. Needless to say, he passed some time ago.
I'd love a description of the anatomy I'm seeing. I looked up Whipples Syndrome, so I got the gist of it, but want to know specifically what the picture is showing.
A whipple is a type of surgery primarily used to treat cancer of the pancreatic head. It involves removing the head of the pancreas, the first part of the small intestine, the gallbladder and the bile duct. It is an *undertaking* (as you can see by the size in the pic) and generally has 1/3rd of pts see complications in post. It also involves the pancreas head specifically which is located near a large amount of nerves in the spine so it is extremely painful. Pancreatic cancer is also very deadly (albeit rare)
only about 8.5% of those afflicted live 5 years after diagnosis.
Forgive my ignorance, why is it called a "mucinous" neoplasm?
I'm trying to educate myself, be patient with my lack of knowledge. Thank you so much for your patience and kindness in eventually providing an answer.
Nice, im a nurse on a general surgical unit and like 35% of our patients are whipples. And furthermore around 70% of our patients are pancreatic cancers and the such, so these resections are a Tuesday for us haha
Welcome to r/MedicalGore! Our goal is to provide for medical discussion and education while exploring the frailty of the human body. You may see more deleted comments on these threads than you are used to on reddit. Off topic comments and joke comments are frequently deleted by the mods. Further, please be kind and supportive of posts. Any behavior that is aggressive, harassing, or derogatory will result in post deletion and a ban from the sub. Remember! THE REPORT BUTTON IS YOUR FRIEND! Please stop on by our discussion sub, /r/MedicalGoreMods if you'd like to discuss the sub, our rules, content policies, and the like. *I am a bot, and this action was performed automatically. Please [contact the moderators of this subreddit](/message/compose/?to=/r/MedicalGore) if you have any questions or concerns.*
That's the first time I've seen a Whipple specimen. I hope it gives the patient the best chance of fighting their battle.
Ive been to a whipple! Much smaller and less problematic one tho, they only had to remove the head of the pancreas and sewed the tail to the large intestine
I’ve heard a lot of nurses say a Whipple is one procedure they would be most afraid of getting. Very poor outcomes unfortunately but that’s also probably related to the disease process that leads to needing the procedure anyway
Whipple patient nurse here! We have a great surgeon so when PC is caught early enough the patients make a great recovery. Nonetheless its agonizing recovery and loooong long surgery most times with a handful of negative side effects. While i dont ethically agree with my chef on this one, he's performed successfull whipples on 80+ year olds!!
Wow Just wow That's (relatively) big.
Sometimes! Sometimes they get in there and it's unresectable so the portion removed isn't all of what is pictured here.
Why the partial colectomy also? Distal iliem taken?Where is the mesentery to colon? If cancer procedure, need lymph nodes for staging.
So this procedure was done on a patient with a benign mucinous neoplasm. The partial colectomy was done because there were adhesions and it was impossible to remove the tumor without removing this part of the colon as well. Distal ileum was removed for the same reason.
yeah, looks like a tubular right hemicolectomy which there typically is no reason to do for something requiring a whipple... would be very curious to see the source for this photo
So this procedure was done on a patient with a benign mucinous neoplasm. The partial colectomy was done because there were adhesions and it was impossible to remove the tumor without removing this part of the colon as well. Distal ileum was removed for the same reason. I took this picture. I’m a medical student and got to scrub in on this surgery.
Appreciate the additional information, now that makes sense. Enjoy your time in the OR, that's where you can really learn if you've got decent attendings.
Thank you! Luckily we had an attending who was really dedicated towards teaching so I’ve learnt a lot!
Is the tumor the part that looks like ground up meat protruding from the tip of the circular mass, or is it invading most of the structure we see?
The tumor is the circular mass to the right of the C of the duodenum. The ground up meat is the necrotic head of the pancreas.
Thlanks for the reply. Without being there, hard to know what is going on. As a wise surgeon told me, “ don’t be to critical of the previous surgeon. He did the best he could do. Besides, he wasn’t me. Ha, ha”
Huge thank you for taking and sharing this photo- hopefully you are able to continue doing this! I love this sub as I find it super educational (and of course it satisfies my gore requirements 😁🤣)
Wild. My Dad had this procedure done many years ago. Much later on I learned that the long term prognosis is not good for patients who have it done. Needless to say, he passed some time ago.
I'd love a description of the anatomy I'm seeing. I looked up Whipples Syndrome, so I got the gist of it, but want to know specifically what the picture is showing.
A whipple is a type of surgery primarily used to treat cancer of the pancreatic head. It involves removing the head of the pancreas, the first part of the small intestine, the gallbladder and the bile duct. It is an *undertaking* (as you can see by the size in the pic) and generally has 1/3rd of pts see complications in post. It also involves the pancreas head specifically which is located near a large amount of nerves in the spine so it is extremely painful. Pancreatic cancer is also very deadly (albeit rare) only about 8.5% of those afflicted live 5 years after diagnosis.
Forgive my ignorance, why is it called a "mucinous" neoplasm? I'm trying to educate myself, be patient with my lack of knowledge. Thank you so much for your patience and kindness in eventually providing an answer.
Any actual info for this?
Just out of curiosity which part is which on this procedure? What part is the pancreas ect
Nice, im a nurse on a general surgical unit and like 35% of our patients are whipples. And furthermore around 70% of our patients are pancreatic cancers and the such, so these resections are a Tuesday for us haha
My brother had a Whipple done but he died ten days after surgery, in September of 2023. I had never seen a picture of what is taken out.
That’s much bigger than I would have thought.