{"schema_version":"bookimed.page-context.v1","id":"organ-pancreas-liver","url":"https://hub.bookimed.com/oncologic-surgery/organ-pancreas-liver/","json_url":"https://hub.bookimed.com/oncologic-surgery/organ-pancreas-liver/#page-context","content_revision":"prepared-registry-v2","date_modified":"2026-10-21","language":"en","kind":"guide","title":"pancreas_liver","summary":"For a Whipple operation, also called pancreaticoduodenectomy, laparoscopic surgery is a minimally invasive approach; robotic surgery is another approach alongside open surgery. Choosing between these approaches involves matching the complexity of the operation to the surgeon's and hospital's experience. For liver cancer, liver resection is an operation to remove cancerous liver tissue. Minimally invasive liver resection requires specific technical skills, particularly when surgery follows the liver's anatomical divisions.","research_credit":{"name":"Yevhenii Kozlov","role":"Co-Founder of Bookimed","url":"https://us-uk.bookimed.com/ceo/kozlov/","contribution":"Research project led","assistance":"For me, helping patients find the best medical care is a personal responsibility. This guide is built by a process we designed to do the hard part — reading the research, comparing surgeons and clinics, checking real offers — and to make the result simple and clear for every patient. AI tools do much of the work; every fact links to its source."},"editorial_scope":"Source-linked research and public provider information. Individual treatment requires clinical assessment.","research_method":"How this guide is researched and compared Research project led by Yevhenii Kozlov .","sections":[{"id":"narrative-mechanism_and_choices","title":"How surgery works and how approaches differ","text":"How surgery works and how approaches differ For a Whipple operation, also called pancreaticoduodenectomy, laparoscopic surgery is a minimally invasive approach; robotic surgery is another approach alongside open surgery. Choosing between these approaches involves matching the complexity of the operation to the surgeon's and hospital's experience. For liver cancer, liver resection is an operation to remove cancerous liver tissue. Minimally invasive liver resection requires specific technical skills, particularly when surgery follows the liver's anatomical divisions. Sources (5) [Expert consensus of laparoscopic pancreaticoduodenectomy(postscript of operation process and main steps)]. Step-by-Step Description of Standardized Technique for Robotic Pancreatoduodenectomy. Complexity and Experience Grading to Guide Patient Selection for Minimally Invasive Pancreatoduodenectomy: An International Study Group for Pancreatic Surgery (ISGPS) Consensus. [Chinese expert consensus on the peri-operative management of hepatectomy for liver cancer (2021 Edition)]. Expert Consensus Guidelines: How to safely perform minimally invasive anatomic liver resection.","links":[{"label":"[Expert consensus of laparoscopic pancreaticoduodenectomy(postscript of operation process and main steps)].","url":"https://pubmed.ncbi.nlm.nih.gov/28464571/"},{"label":"Step-by-Step Description of Standardized Technique for Robotic Pancreatoduodenectomy.","url":"https://pubmed.ncbi.nlm.nih.gov/40558245/"},{"label":"Complexity and Experience Grading to Guide Patient Selection for Minimally Invasive Pancreatoduodenectomy: An International Study Group for Pancreatic Surgery (ISGPS) Consensus.","url":"https://pubmed.ncbi.nlm.nih.gov/39034920/"},{"label":"[Chinese expert consensus on the peri-operative management of hepatectomy for liver cancer (2021 Edition)].","url":"https://pubmed.ncbi.nlm.nih.gov/33902204/"},{"label":"Expert Consensus Guidelines: How to safely perform minimally invasive anatomic liver resection.","url":"https://pubmed.ncbi.nlm.nih.gov/34779150/"}]},{"id":"methods-evidence","title":"Methods and what the numbers show","text":"Methods and what the numbers show Methods at Bookimed clinics Other methods with evidence","links":[{"label":"Surgeons","url":"https://hub.bookimed.com/oncologic-surgery/surgeons-organ-pancreas-liver/"},{"label":"Clinics","url":"https://hub.bookimed.com/oncologic-surgery/clinics-organ-pancreas-liver/"},{"label":"Programme at Sheba Medical Center","url":"https://us-uk.bookimed.com/offer-procedure/69d7ba7078df6af764019754/"},{"label":"Programme at Sheba Medical Center","url":"https://us-uk.bookimed.com/offer-procedure/69da1c9d03df1287e00f6df4/"},{"label":"Programme at Sheba Medical Center","url":"https://us-uk.bookimed.com/offer-procedure/69de22eee5caa8eee30af074/"},{"label":"Programme at Anadolu Medical Center","url":"https://us-uk.bookimed.com/offer-procedure/69aaabad4fd5b2a3180028b2/"}],"tables":[[["Method","What it is","What the numbers show"],["Removal of the pancreatic head and duodenum (Whipple surgery)","Removal of the pancreatic head and duodenum (Whipple surgery). Surgeons · Clinics · Programme at Sheba Medical Center · Programme at Sheba Medical Center · Programme at Sheba Medical Center · Programme at Anadolu Medical Center","Patients with obesity had higher 30-day mortality rates (2.42% vs. 1.63%; OR: 1.68, 95% CI: 1.35-2.08, p < 0.00001, I² = 0%) and major complications (23.3% vs. 17.12%; OR: 1.77, 95% CI: 1.27-2.46, p = 0.0007, I² = 52%) than patients without obesity. 30-day; OBJECTIVES: This meta-analysis compares outcomes of pancreaticoduodenectomy (PD) using open (OPD), robotic (RPD), and laparoscopic (LPD) techniques in patients with and without obesity and resectable pancreatic cancer. [9] Among surgical techniques, patients with obesity who underwent OPD had higher risks of 30-day mortality (OR: 1.59, 95% CI: 1.26-2.00, p < .0001), major complications (OR 1.63, 95% CI 1.17-2.28, p = 0.004), and POPF (OR 1.98, 95% CI 1.59-2.47, p < 0.00001) than patients without obesity. 30-day; OBJECTIVES: This meta-analysis compares outcomes of pancreaticoduodenectomy (PD) using open (OPD), robotic (RPD), and laparoscopic (LPD) techniques in patients with and without obesity and resectable pancreatic cancer. [9] In the RPD group, obesity increased the risk of 30-day mortality (OR: 2.68, 95% CI: 1.12-6.39, p = 0.03) and POPF (OR 3.32, 95% CI 1.68-6.57, p = 0.0006). 30-day; OBJECTIVES: This meta-analysis compares outcomes of pancreaticoduodenectomy (PD) using open (OPD), robotic (RPD), and laparoscopic (LPD) techniques in patients with and without obesity and resectable pancreatic cancer. [9]"]],[["Method","What it is","What the numbers show"],["Removal of liver tissue","Removal of liver tissue.","The findings of this review found no significant difference in 5-year overall and disease-free survival rates between both approaches (relative risk (RR) = 0.84 (0.54, 1.30), P = 0.35, I2 = 94%) and (RR = 1.00 (0.32, 3.13), P = 0.99, I2 = 89%), respectively. 5-year; The included studies enrolled patients with either resectable or unresectable tumors, depending on tumor characteristics, institutional protocols, and clinical eligibility. [2] Transfusion proportion was 32% (95% CI: 16%-54%), hospital stay was 6.8 days (95% CI: 4-9.6), and the overall postoperative complications 16% (95% CI: 10%-24%) including 11% bile leakage (95% CI: 6%-19%). 6.8 days; LLR appears safe and feasible for pediatric liver tumors in selected patients. [3] In the network meta-analysis for 5-year overall survival (26 studies), liver transplantation was associated with the lowest mortality hazard (hazard ratio, 0.47; 95% confidence interval, 0.31-0.73, referenced to liver resection), followed by liver resection (reference), whereas ablation had the greatest mortality hazard (hazard ratio, 1.32; 95% confidence interval, 1.16-1.49, referenced to liver resection). 5-year; Comparative analysis of treatment modalities for solitary, small (≤3 cm) hepatocellular carcinoma: A systematic review and network meta-analysis of oncologic outcomes. — We identified 80 studies (4 randomized controlled trials, 72 retrospectives, and 4 prospective cohorts) with 28,211 patients. [4]"],["Destroying tumour cells with electrical pulses (IRE)","Destroying tumour cells with electrical pulses (IRE).","The 6/12/24 months OS with IRE was 99%/84%/28%. 24 months; Irreversible electroporation (IRE) is used as a locoregional treatment modality for patients with locally advanced pancreatic cancer (LAPC), but is non-curative and is associated with postoperative morbidity and mortality. [5] The 6/12/24 months OS without IRE was 99%/80%/12%. 24 months; Irreversible electroporation (IRE) is used as a locoregional treatment modality for patients with locally advanced pancreatic cancer (LAPC), but is non-curative and is associated with postoperative morbidity and mortality. [5] At 12 months from IRE, OS was 55% and PFS was 12%. 12 months; Irreversible electroporation (IRE) is used as a locoregional treatment modality for patients with locally advanced pancreatic cancer (LAPC), but is non-curative and is associated with postoperative morbidity and mortality. [5]"],["Laparoscopic removal of liver tissue","Laparoscopic removal of liver tissue.","The results of the meta-analysis showed that the two groups had the same 3-year (HR: 0.99, 95% CI: 0.67 to 1.47) and 5-year (HR: 1.30, 95% CI: 0.90 to 1.87) OS rates, and the LH group had better 3-year (HR: 0.58, 95% CI: 0.49 to 0.68) and 5-year (HR: 0.56, 95% CI: 0.37 to 0.85) RFS rates. 3-year; 5-year; Comparison of laparoscopic hepatectomy and percutaneous radiofrequency ablation for the treatment of small hepatocellular carcinoma: a meta-analysis. — A total of 1886 patients with small HCC were included in the 8 studies included in this study, of which 839 underwent LH and 1047 underwent PRAF. [6] Five-year RFS and OS rates in the LH, OH, and RFA groups were 50%, 41.6%, and 41.8% (p = 0.89) and 85.2%, 80.1%, and 80.1% (p = 0.83), respectively. Five-year; OH was selected significantly more frequently than RFA when patients had the following factors: maximum tumor diameter >2 cm (OR = 3.13; 95% CI = 1.72-5.69), proximity to major vessels (OR = 2.08; 95% CI = 1.01-4.30), and good liver function (OR = 0.46; 95% CI = 0.22-0.93). [7] During the 36.0 (20.4-52.4) month follow-up period, the 1-year, 3-year, and 5-year OS rates in the MWA group were 97.6, 80.9, and 65.3% and 95.5, 78.7, and 60.4% in the LLR group (HR 0.98, P =0.900). 1-year; 3-year; 5-year; There is currently a lack of convincing evidence for microwave ablation (MWA) and laparoscopic liver resection (LLR) for patients ≥60 years old with 3-5 cm hepatocellular carcinoma. [8]"],["Laparoscopic removal of the pancreatic head and duodenum (Whipple surgery)","Laparoscopic removal of the pancreatic head and duodenum (Whipple surgery).","Patients with obesity had higher 30-day mortality rates (2.42% vs. 1.63%; OR: 1.68, 95% CI: 1.35-2.08, p < 0.00001, I² = 0%) and major complications (23.3% vs. 17.12%; OR: 1.77, 95% CI: 1.27-2.46, p = 0.0007, I² = 52%) than patients without obesity. 30-day; OBJECTIVES: This meta-analysis compares outcomes of pancreaticoduodenectomy (PD) using open (OPD), robotic (RPD), and laparoscopic (LPD) techniques in patients with and without obesity and resectable pancreatic cancer. [9] Among surgical techniques, patients with obesity who underwent OPD had higher risks of 30-day mortality (OR: 1.59, 95% CI: 1.26-2.00, p < .0001), major complications (OR 1.63, 95% CI 1.17-2.28, p = 0.004), and POPF (OR 1.98, 95% CI 1.59-2.47, p < 0.00001) than patients without obesity. 30-day; OBJECTIVES: This meta-analysis compares outcomes of pancreaticoduodenectomy (PD) using open (OPD), robotic (RPD), and laparoscopic (LPD) techniques in patients with and without obesity and resectable pancreatic cancer. [9] In the RPD group, obesity increased the risk of 30-day mortality (OR: 2.68, 95% CI: 1.12-6.39, p = 0.03) and POPF (OR 3.32, 95% CI 1.68-6.57, p = 0.0006). 30-day; OBJECTIVES: This meta-analysis compares outcomes of pancreaticoduodenectomy (PD) using open (OPD), robotic (RPD), and laparoscopic (LPD) techniques in patients with and without obesity and resectable pancreatic cancer. [9]"],["Destroying tumour tissue with microwave energy","Destroying tumour tissue with microwave energy.","The three-year overall survival was 14% with microwave ablation and 23% with conventional surgery, resulting in an HR of 0.91 (95% CI 0.39 to 2.15). three-year; Microwave ablation versus conventional surgery One trial, conducted in Japan, randomised 40 participants (mean age 61 years, 53% males) with multiple liver metastases of colorectal cancer. [10] No participant in the microwave ablation group demonstrated local progression at 12 months, while that occurred in two participants in the radiofrequency ablation group (RR 0.19, 95% CI 0.01 to 3.67). 12 months; Microwave ablation versus conventional surgery One trial, conducted in Japan, randomised 40 participants (mean age 61 years, 53% males) with multiple liver metastases of colorectal cancer. [10] In secondary measures, HR provided significantly higher 3- and 5-year overall survival (RR = 0.94; P = 0.03 and RR = 0.88; P = 0.01, respectively) and 3-year disease-free survival (RR = 0.78; P = 0.009). 5-year; 3-year; Hepatic resection (HR) is the gold standard liver cancer treatment, but few patients are eligible due to comorbidities or tumor location. [11]"],["Minimally invasive removal of liver tissue","Minimally invasive removal of liver tissue.","After a median follow-up of 59 months and after weighting median overall survival was 60 months (95% CI 52-66) for the ablation group and 93 months (95% CI 75-110) for the laparoscopic resection group (hazard ratio [HR] 0.607, 95% CI 0.533-0.691, p <0.001). 59 months; 60 months; 93 months; For patients with single small (≤3 cm) hepatocellular carcinoma ablation is the first-line treatment, although a high rate of recurrence has been reported. [12] Median recurrence-free survival was 26 months (95% CI 23-29) for the ablation group and 39 months (95% CI 30-55) for the laparoscopic resection group (HR 0.736, 95% CI 0.659-0.822, p = 0.0013). 26 months; 39 months; For patients with single small (≤3 cm) hepatocellular carcinoma ablation is the first-line treatment, although a high rate of recurrence has been reported. [12] Laparoscopy was associated with a reduced risk of early recurrence (HR 0.747, 95% CI 0.655-0.853, p = 0.011). Study follow-up: After a median follow-up of 59 months and after weighting median overall survival was 60 months (95% CI 52-66) for the ablation group and 93 months (95% CI 75-110) for the laparoscopic resection group (hazard ratio [HR] 0.607, 95% CI 0.533-0.691, p <0.001).; For patients with single small (≤3 cm) hepatocellular carcinoma ablation is the first-line treatment, although a high rate of recurrence has been reported. [12]"],["Minimally invasive removal of the pancreatic head and duodenum (Whipple surgery)","Minimally invasive removal of the pancreatic head and duodenum (Whipple surgery).","Major complications (RD -11%, P = 0.302) and 90-day mortality (RD -2%, P = 0.328) were comparable between laparoscopic MIPD and OPD. 90-day; Assessment of minimally invasive pancreatoduodenectomy (MIPD) in patients with pancreatic ductal adenocarcinoma (PDAC) is scarce and limited to non-randomized studies. [13] Pooled analysis revealed similar 5-year overall survival after MIPD compared with OPD (HR: 0.78, 95% CI 0.50-1.22, p = 0.2). 5-year; Long-term survival after minimally invasive resection versus open pancreaticoduodenectomy for periampullary cancers: a systematic review, meta-analysis and meta-regression. — Among all 58,622 patients, 8716 (14.9%) underwent MIPD and 49,875 (85.1%) underwent OPD. [14] Sensitivity subset analyses for PDAC demonstrated similar 5-year overall survival after MIPD compared with OPD (HR 0.69, 95% CI: 0.32-1.50, p = 0.3). 5-year; Long-term survival after minimally invasive resection versus open pancreaticoduodenectomy for periampullary cancers: a systematic review, meta-analysis and meta-regression. — Among all 58,622 patients, 8716 (14.9%) underwent MIPD and 49,875 (85.1%) underwent OPD. [14]"],["Open removal of liver tissue","Open removal of liver tissue.","Five-year RFS and OS rates in the LH, OH, and RFA groups were 50%, 41.6%, and 41.8% (p = 0.89) and 85.2%, 80.1%, and 80.1% (p = 0.83), respectively. Five-year; OH was selected significantly more frequently than RFA when patients had the following factors: maximum tumor diameter >2 cm (OR = 3.13; 95% CI = 1.72-5.69), proximity to major vessels (OR = 2.08; 95% CI = 1.01-4.30), and good liver function (OR = 0.46; 95% CI = 0.22-0.93). [7]"],["Open removal of the pancreatic head and duodenum (Whipple surgery)","Open removal of the pancreatic head and duodenum (Whipple surgery).","Major complications (RD -11%, P = 0.302) and 90-day mortality (RD -2%, P = 0.328) were comparable between laparoscopic MIPD and OPD. 90-day; Assessment of minimally invasive pancreatoduodenectomy (MIPD) in patients with pancreatic ductal adenocarcinoma (PDAC) is scarce and limited to non-randomized studies. [13] And there was no significant difference regarding 1-year OS and 3-year OS: 1-year OS [RR = 1.02,95% CI (0.97,1.08), p = 0.417], 3-year OS [RR = 1.10 95% CI (0.75, 1.62), p = 0.614%]. 1-year; 3-year; With the increase of clinical application of LPD, the usage of LPD in patients with pancreatic cancer has very good prospect. [15] Operative time was significantly longer for LPD (MD 85.59 min, p < 0.00001), whereas overall morbidity (OR 0.80, p < 0.00001), hospital stay (MD -2.32 days, p < 0.00001), blood loss (MD -173.84 ml, p < 0.00001), transfusion (OR 0.62, p = 0.0002), and DGE (OR 0.78, p = 0.002) were reduced for LPD. 2.32 days; Laparoscopic versus open pancreaticoduodenectomy for pancreatic and periampullary tumor: A meta-analysis of randomized controlled trials and non-randomized comparative studies. — Four RCTs and 35 NRCTs concerning a total of 40,230 patients (4,262 LPD and 35,968 OPD) were included. [16]"],["Removal of pancreatic tissue","Removal of pancreatic tissue.","Our analysis revealed no statistically significant differences in length of hospital stay (mean difference (MD): 4.69 days; 95% CI: -2.30, 11.68), complications (OR: 1.21; 95% CI: 0.53, 2.77), or recurrence rates (OR: 1.47; 95% CI: 0.98, 2.23) between RAMPS and SDP. 4.69 days; This systematic review and meta-analysis demonstrates that RAMPS and SDP yield largely comparable perioperative and early oncological outcomes in patients with resectable distal pancreatic tumours. [17] Pancreatic ductal adenocarcinoma (PDAC) remains one of the most lethal malignancies worldwide, with a 5-year survival rate below 10%. 5-year; Robotic distal pancreatectomy for pancreatic ductal adenocarcinoma: a systematic review and meta-analysis of outcomes in Western vs. Eastern Centers. — Twenty-five studies encompassing 3200 patients were analyzed (Western: 15 studies, 1900 patients; Eastern: 10 studies, 1300 patients). [18] Pancreatic re-resection was associated with 1-year survival 70.6% (95% confidence interval [CI], 65.0-76.2), 2-year survival 38.8% (95% CI, 28.6-49.0), 3-year survival 20.2% (95% CI, 13.8-26.7), and 5-year survival 9.2% (95% CI, 5.5-12.8). 1-year; 2-year; 3-year; 5-year; The role of surgical resection in patients with recurrent pancreatic cancer is unclear. [19]"],["Destroying tumour tissue with radiofrequency energy","Destroying tumour tissue with radiofrequency energy.","Compared with RFA, SR was associated with superior survival outcomes, including three-year overall survival (OS) (HR: 0.73; 95% CI: 0.66-0.80), five-year OS (HR: 0.70; 95% CI: 0.62-0.79), one-year recurrence-free survival (RFS) (HR: 0.55; 95% CI: 0.47-0.65), three-year RFS (HR: 0.66; 95% CI: 0.59-0.73), and five-year RFS (HR: 0.76; 95% CI: 0.68-0.85). three-year; five-year; one-year; This meta-analysis aims to compare the safety and efficacy of radiofrequency ablation (RFA) and surgical resection (SR) in patients with small hepatocellular carcinoma (HCC). [20] No statistically significant difference was observed for the 1-year OS (HR: 1.30, CI: 0.56-3.02, p = 0.54). 1-year; Radiofrequency ablation versus surgical resection as first-line treatment for very early stage hepatocellular carcinoma: a systematic review with meta-analysis. — Fourteen studies (3551 patients), one randomized controlled trial (RCT), and 13 retrospective cohorts were included. [21] The OS at 3 and 5 years was significantly greater after SR than after RFA (HR: 2.28, CI: 1.38-3.75, p = 0.001; and HR: 1.66, CI: 1.29-2.15, p = 0.0001, respectively). 5 years; Radiofrequency ablation versus surgical resection as first-line treatment for very early stage hepatocellular carcinoma: a systematic review with meta-analysis. — Fourteen studies (3551 patients), one randomized controlled trial (RCT), and 13 retrospective cohorts were included. [21]"],["Robot-assisted removal of pancreatic tissue","Robot-assisted removal of pancreatic tissue.","The RP group had shorter operative time (210 min vs. 240 min, P < 0.001), lower estimated blood loss (200 ml vs. 300 ml, P = 0.011), lower wound infection rates (4.5% vs. 10.1%, P = 0.005) and shorter length of postoperative hospital stay (15 days vs. 17 days, P = 0.001) compared to the OP group, with no significant differences in other perioperative outcomes. 15 days; 17 days; Limited data are available regarding long-term oncological outcomes in patients with pancreatic ductal adenocarcinoma (PDAC) who undergo robotic pancreatectomy (RP). [22]"],["Robot-assisted removal of the pancreatic head and duodenum (Whipple surgery) Innovative / investigational method","Robot-assisted removal of the pancreatic head and duodenum (Whipple surgery).","The RPD group had lower overall morbidity (RR, 0.79), conversion (RR, 0.29) and blood transfusion rates (RR, 0.61), shorter length of stay (MD, -0.72 days), and higher number of harvested lymph nodes (MD, 0.62) than the LPD group. 0.72 days; Robotic versus laparoscopic pancreaticoduodenectomy for pancreatic and periampullary tumors: a meta-analysis. — RESULTS: Seventeen studies with a total of 9417 patients (RPD group: 3334 patients; LPD group: 6083 patients) were included in this meta-analysis. [23] There was a trend of shorter hospital stays (11.4 days vs. 9.8 days, P = 0.218) and less severe postoperative complications (21.4% vs. 7.1%; P = 0.227) in the robot-assisted PD group. 11.4 days; 9.8 days; PURPOSE: With neoadjuvant treatment (NAT) broadening the surgical indication for advanced pancreatic cancer, the growing use of robotic platforms in pancreaticoduodenectomy (PD) necessitates the evaluation of its feasibility in advanced pancreatic cancer patients who have undergone NAT. [24] The overall (OS) and disease-free survival (DFS) rates between the 2 groups were comparable (5-year OS rate: 55.7% vs. 72.7%, P = 0.264; 5-year DFS rate: 54.4% vs. 58.4%, P = 0.759). 5-year; PURPOSE: With neoadjuvant treatment (NAT) broadening the surgical indication for advanced pancreatic cancer, the growing use of robotic platforms in pancreaticoduodenectomy (PD) necessitates the evaluation of its feasibility in advanced pancreatic cancer patients who have undergone NAT. [24]"],["Removal of the whole pancreas","Removal of the whole pancreas.","The overall postoperative complication rate was 57.8%(15/26),with major complications including grade B/C pancreatic fistula 25.0%(6/24,excluding 2 cases of total pancreatectomy),delayed gastric emptying in 23.1%(6/26),wound complications 11.5%(3/26),postoperative hemorrhage 7.7%(2/26), chylous fistula 7.7%(2/26) and bile fistula 3.8%(1/26). Study follow-up: A total of 25 patients were followed up,with a follow-up time of 21(24)months(range: 8 to 42 months).; During the follow-up period,8 cases(32.0%) died due to tumor recurrence and metastasis,while 17 patients(68.0%) remained alive,including 11 cases of disease-free survival,5 cases of distant metastasis,and 1 case of local recurrence. [25]"],["Removal of an affected section of vein","Removal of an affected section of vein.","Of 404 patients who underwent upfront PVR, the 30-day mortality rate was 1.2%, and the 90-day mortality rate was 3.7%. 30-day; 90-day; Venous invasion is an independent prognostic factor for poor survival in pancreatic cancer patients undergoing upfront PVR, and adjuvant chemotherapy contributes to an extend postoperative survival. [26] The median overall survival (OS) was 19.8 months (95% CI: 17.5-22.9), with 1-, 2-, and 3-year OS rates of 71.4%, 40.8%, and 23.2%, respectively. 19.8 months; 3-year; Venous invasion is an independent prognostic factor for poor survival in pancreatic cancer patients undergoing upfront PVR, and adjuvant chemotherapy contributes to an extend postoperative survival. [26] However, without venous resection, NAT patients had significantly fewer (Clavien-Dindo ≥IIIb) postoperative complications (10.8% vs. 24.4%, p=0.02), fewer reoperations (3.0% vs. 11.2%, p=0.006), and lower 90-day mortality (2.4% vs. 7.7%, p=0.03). 90-day; Upfront surgery vs. neoadjuvant therapy in pancreatic cancer with venous involvement: a multicenter retrospective analysis. — We included 361 patients who received NAT and 690 patients who underwent US at nine centres. [27]"]]]},{"id":"narrative-indications_and_alternatives","title":"When surgery may help and what alternatives to discuss","text":"When surgery may help and what alternatives to discuss When considering a robotic or laparoscopic Whipple operation, the assessment includes the size of the pancreatic and bile ducts, whether the tumour touches blood vessels, obesity, and previous complicated upper abdominal surgery or disease. These factors are considered alongside the team's experience. If the tumour involves the portal or superior mesenteric vein, removing and reconstructing the affected vein may allow surgery in selected patients; this is a technically demanding operation with complex care needs. For liver surgery, planning care takes account of the disease, the patient's health and how well the liver works. Sources (3) Complexity and Experience Grading to Guide Patient Selection for Minimally Invasive Pancreatoduodenectomy: An International Study Group for Pancreatic Surgery (ISGPS) Consensus. [Expert consensus on laparoscopic and robotic-assisted pancreatoduodenectomy with resection and reconstruction of portal-superior mesenteric vein (2025)]. The E-AHPBA - ESSO - Innsbruck consensus recommendations on peri- and postoperative management following liver resection.","links":[{"label":"Complexity and Experience Grading to Guide Patient Selection for Minimally Invasive Pancreatoduodenectomy: An International Study Group for Pancreatic Surgery (ISGPS) Consensus.","url":"https://pubmed.ncbi.nlm.nih.gov/39034920/"},{"label":"[Expert consensus on laparoscopic and robotic-assisted pancreatoduodenectomy with resection and reconstruction of portal-superior mesenteric vein (2025)].","url":"https://pubmed.ncbi.nlm.nih.gov/40258786/"},{"label":"The E-AHPBA - ESSO - Innsbruck consensus recommendations on peri- and postoperative management following liver resection.","url":"https://pubmed.ncbi.nlm.nih.gov/41238460/"}]},{"id":"narrative-outcomes_and_limits","title":"Expected outcomes and limits of the evidence","text":"Expected outcomes and limits of the evidence When discussing pancreatic or liver surgery, ask the team how it measures results. Relevant measures include major complications, bile leaks, unplanned further procedures within 90 days, and deaths within 90 days of surgery. These address different aspects of safety, rather than a single overall success rate. For robotic or laparoscopic Whipple surgery, a comparison between centres should also consider the complexity of the patients' operations and the experience of each team. Sources (2) A core set of quality performance indicators for HPB procedures: a global consensus for hepatectomy, pancreatectomy, and complex biliary surgery. Complexity and Experience Grading to Guide Patient Selection for Minimally Invasive Pancreatoduodenectomy: An International Study Group for Pancreatic Surgery (ISGPS) Consensus.","links":[{"label":"A core set of quality performance indicators for HPB procedures: a global consensus for hepatectomy, pancreatectomy, and complex biliary surgery.","url":"https://pubmed.ncbi.nlm.nih.gov/37198070/"},{"label":"Complexity and Experience Grading to Guide Patient Selection for Minimally Invasive Pancreatoduodenectomy: An International Study Group for Pancreatic Surgery (ISGPS) Consensus.","url":"https://pubmed.ncbi.nlm.nih.gov/39034920/"}]},{"id":"narrative-risks","title":"Risks to discuss with your surgeon","text":"Risks to discuss with your surgeon Whipple surgery is a complex operation with substantial risks of complications and a risk of death around the time of surgery. Before this operation, identifying narrowing of the coeliac artery, a blood vessel supplying abdominal organs, matters because it can increase the risk of inadequate blood flow after surgery. After left, or distal, pancreatectomy, one concern is a pancreatic fistula, meaning leakage of pancreatic fluid. After liver resection, important complications include bile leakage, bleeding and liver failure. The liver's function, the disease and the patient's health all contribute to risk. Sources (4) Guide to Enhanced Recovery for Cancer Patients Undergoing Surgery: Pancreaticoduodenectomy. Management of Median Arcuate Ligament Compression in Patients Undergoing Pancreaticoduodenectomy: A Systematic Review and Consensus Statements. Management of the pancreatic transection plane after left (distal) pancreatectomy: Expert consensus guidelines by the International Study Group of Pancreatic Surgery (ISGPS). The E-AHPBA - ESSO - Innsbruck consensus recommendations on peri- and postoperative management following liver resection.","links":[{"label":"Guide to Enhanced Recovery for Cancer Patients Undergoing Surgery: Pancreaticoduodenectomy.","url":"https://pubmed.ncbi.nlm.nih.gov/33624173/"},{"label":"Management of Median Arcuate Ligament Compression in Patients Undergoing Pancreaticoduodenectomy: A Systematic Review and Consensus Statements.","url":"https://pubmed.ncbi.nlm.nih.gov/41492253/"},{"label":"Management of the pancreatic transection plane after left (distal) pancreatectomy: Expert consensus guidelines by the International Study Group of Pancreatic Surgery (ISGPS).","url":"https://pubmed.ncbi.nlm.nih.gov/32249092/"},{"label":"The E-AHPBA - ESSO - Innsbruck consensus recommendations on peri- and postoperative management following liver resection.","url":"https://pubmed.ncbi.nlm.nih.gov/41238460/"}]},{"id":"narrative-recovery_and_followup","title":"Recovery and follow-up care","text":"Recovery and follow-up care Recovery planning for a Whipple operation involves several healthcare professionals working together. An enhanced recovery plan includes explaining the process to you, planning nutrition, using a combination of pain-relief methods, managing fluids and blood sugar, and helping you restart eating and moving early after surgery. Drains may be removed early when clinically appropriate. For liver resection, preparation to improve fitness before surgery and early movement afterwards are recommended parts of care. Nutrition is also part of planning care around the operation. These are useful topics to discuss with the team when preparing for treatment. Sources (3) Guide to Enhanced Recovery for Cancer Patients Undergoing Surgery: Pancreaticoduodenectomy. The E-AHPBA-ESSO-Innsbruck consensus recommendations on peri- and postoperative management following liver resection. The E-AHPBA - ESSO - Innsbruck consensus recommendations on peri- and postoperative management following liver resection.","links":[{"label":"Guide to Enhanced Recovery for Cancer Patients Undergoing Surgery: Pancreaticoduodenectomy.","url":"https://pubmed.ncbi.nlm.nih.gov/33624173/"},{"label":"The E-AHPBA-ESSO-Innsbruck consensus recommendations on peri- and postoperative management following liver resection.","url":"https://pubmed.ncbi.nlm.nih.gov/41467576/"},{"label":"The E-AHPBA - ESSO - Innsbruck consensus recommendations on peri- and postoperative management following liver resection.","url":"https://pubmed.ncbi.nlm.nih.gov/41238460/"}]},{"id":"explore","title":"Explore surgery and care teams","text":"Explore surgery and care teams Pancreatic cancer surgery Whipple surgery Liver resection Removal of liver cancer Pancreas_liver surgery surgeons Pancreatic cancer surgery surgeons Whipple surgery surgeons Liver resection surgeons Removal of liver cancer surgeons Pancreas_liver 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entries Turkey · 1–12 of 30 entries Turkey · 13–24 of 30 entries Turkey · 25–30 of 30 entries Germany · 5 entries Spain · 3 entries Italy · 3 entries Republic of Korea · 2 entries Austria · 3 entries Sources (56) Joseph Klauzner Jaroslav Tvaruzek Mustafa Solak Viola Fox Onder Surgit Ayhan Erdemir Sinan Karaaslan Bulent Karagoz Kemal Rasa Pekize Eker Balcioglu Halil Alis Peter Schenker Turgut Camkiran Muzaffer Al Erol Kilic Kadir Dicle Levent Akgun Kazak Soykan Barlas Xavier Centeno Fornies Assoc Prof Dr Guner Cakmak Yusuf Acikgoz Levent Kaptanoglu Mehmet Akif Aydin Selin Kapan Cesar Canales Bedoya Wolfgang Schröder Mehmet Karaca Ron Greenberg Riccardo Rosati Abdulcabbar Kartal Igor Suhotnik Kivanc Derya Peker Murat Cakar Volkan Kinas Hanifi Onalan Ibrahim Aliosmanoglu Carlos Garcia Vasquez Almog Ben Yaacov Florian Gebauer Chief Of General And Visceral Surgery Lars Bönicke Park Sundo Martin Schindl Samet Yardimci boaz Sagi Sedat Karademir Professor Ido Nachmany Menahem Ben-haim Erhun 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Nir","url":"https://us-uk.bookimed.com/doctor/lubezky-nir/"},{"label":"Emanuel Sporn","url":"https://us-uk.bookimed.com/doctor/emanuel-sporn/"},{"label":"Klaus Kaczirek","url":"https://us-uk.bookimed.com/doctor/dr-klaus-kaczirek/"},{"label":"Prof. Abuzer Dirican","url":"https://us-uk.bookimed.com/doctor/abuzer-dirican-florence/"},{"label":"Lee Seok Gu","url":"https://us-uk.bookimed.com/doctor/lee-seok-gu/"}],"tables":[[["Specialist","Clinic","Operations and experience","Ask about treatment"],["Joseph Klauzner","Sourasky Medical Center (Ichilov) Tel Aviv, Israel","Removal of liver cancer; Removal of colon cancer; Prostatectomy; Stomach cancer surgery; Da Vinci Robotic System; Small intestine resection; Hyperthermic Intraperitoneal Chemotherapy (HIPEC); Whipple surgery; Colectomy (large bowel resection); Liver resection; Rectal resection; Gastroectomy; Pancreatic cancer surgery In practice since 1984","Ask about treatment"],["Ron Greenberg","Sourasky Medical Center (Ichilov) Tel Aviv, Israel","Removal of liver cancer; Removal of colon cancer; Stomach cancer surgery; Esophagectomy; Small intestine resection; Hyperthermic Intraperitoneal Chemotherapy (HIPEC); Whipple surgery; Colectomy (large bowel resection); Liver resection; Rectal resection; Gastroectomy In practice since 1991","Ask about treatment"],["Igor Suhotnik","Sourasky Medical Center (Ichilov) Tel Aviv, Israel","Small intestine resection; Colectomy (large bowel resection); Liver resection; Gastroectomy In practice since 1990","Ask about treatment"],["Almog Ben Yaacov","Sheba Medical Center Ramat Gan, Israel","Removal of liver cancer; Removal of colon cancer; Stomach cancer surgery; Da Vinci Robotic System; Esophagectomy; Small intestine resection; Hyperthermic Intraperitoneal Chemotherapy (HIPEC); Whipple surgery; Magnetic Resonance-guided Focused Ultrasound Surgery (MRgFUS); Colectomy (large bowel resection); Liver resection; Gastroectomy; Pancreatic cancer surgery In practice since 2006","Ask about treatment"],["boaz Sagi","Sourasky Medical Center (Ichilov) Tel Aviv, Israel","Stomach cancer surgery; Gastroectomy; Pancreatic cancer surgery In practice since 1990","Ask about treatment"],["Professor Ido Nachmany","Sheba Medical Center Ramat Gan, Israel","Removal of liver cancer; Stomach cancer surgery; Small intestine resection; Whipple surgery; Liver resection; Gastroectomy; Pancreatic cancer surgery In practice since 1998","Ask about treatment"],["Menahem Ben-haim","Sourasky Medical Center (Ichilov) Tel Aviv, Israel","Removal of liver cancer; Whipple surgery; Liver resection In practice since 1994","Ask about treatment"],["Ido Wolf","Sourasky Medical Center (Ichilov) Tel Aviv, Israel","Hyperthermic Intraperitoneal Chemotherapy (HIPEC); Pancreatic cancer surgery In practice since 1992","Ask about treatment"],["Lubezky Nir","Sourasky Medical Center (Ichilov) Tel Aviv, Israel","Liver resection In practice since 1997","Ask about treatment"]],[["Specialist","Clinic","Operations and experience","Ask about treatment"],["Jaroslav Tvaruzek","Robotic Surgery Center in St. Zdislava Hospital Velke Mezirici, Czech Republic","Thyroid resection; Removal of liver cancer; Removal of colon cancer; Nephrectomy; Stomach cancer surgery; Da Vinci Robotic System; Esophagectomy; Small intestine resection; Robotic da Vinci prostatectomy; Hysterectomy with DaVinci robot; Colectomy (large bowel resection); Liver resection; Rectal resection; Pancreatic cancer surgery In practice since 1990","Ask about treatment"]],[["Specialist","Clinic","Operations and experience","Ask about treatment"],["Mustafa Solak","Hisar Hospital Intercontinental Istanbul, Turkey","Mastectomy; Thyroid resection; Removal of liver cancer; Removal of colon cancer; Prostatectomy; Removal of spinal cord tumor; Melanoma surgery; Nephrectomy; Stomach cancer surgery; Da Vinci Robotic System; Esophagectomy; Small intestine resection; Robotic da Vinci prostatectomy; Transurethral resection of the prostate (TURP); Breast cancer surgery; Hysterectomy (uterus removal); Lumpectomy; Hyperthermic Intraperitoneal Chemotherapy (HIPEC); Whipple surgery; Orchiectomy; Mohs microsurgery; Hysterectomy with DaVinci robot; Lung cancer surgery; Bladder removal; Colectomy (large bowel resection); Liver resection; Removal of meningioma; Rectal resection; Removal of testicle tumor; Throat cancer operation; Tongue cancer surgery; Gastroectomy; Pancreatic cancer surgery; Bladder removal with reconstruction; Laparoscopic Hysterectomy In practice since 2006","Ask about treatment"],["Onder Surgit","Optimed International Hospital Tekirdag, Turkey","Prostatectomy; Breast cancer surgery; Whipple surgery; Lung cancer surgery; Gastroectomy In practice since 1995","Ask about treatment"],["Ayhan Erdemir","Anadolu Medical Center Istanbul, Turkey","Stomach cancer surgery; Breast cancer surgery; Hyperthermic Intraperitoneal Chemotherapy (HIPEC); Whipple surgery In practice since 2003","Ask about treatment"],["Sinan Karaaslan","Anadolu Medical Center Istanbul, Turkey","Mastectomy; Stomach cancer surgery; Breast cancer surgery; Colectomy (large bowel resection); Rectal resection; Pancreatic cancer surgery In practice since 1997","Ask about treatment"],["Bulent Karagoz","Anadolu Medical Center Istanbul, Turkey","Mastectomy; Melanoma surgery; Stomach cancer surgery; Breast cancer surgery; Whipple surgery; Lung cancer surgery; Colectomy (large bowel resection); Rectal resection; Throat cancer operation In practice since 1993","Ask about treatment"],["Kemal Rasa","Anadolu Medical Center Istanbul, Turkey","Mastectomy; Thyroid resection; Breast cancer surgery; Pancreatic cancer surgery In practice since 1997","Ask about treatment"],["Pekize Eker Balcioglu","Hisar Hospital Intercontinental Istanbul, Turkey","Nephrectomy; Small intestine resection; Hysterectomy (uterus removal); Lumpectomy; Colectomy (large bowel resection); Liver resection; Rectal resection; Gastroectomy In practice since 2002","Ask about treatment"],["Halil Alis","Valued Med Hub Hospitals Istanbul, Turkey","Small intestine resection; Hysterectomy (uterus removal); Lumpectomy; Whipple surgery; Lung cancer surgery; Colectomy (large bowel resection); Liver resection; Gastroectomy In practice since 1992","Ask about treatment"],["Turgut Camkiran","Büyük Anadolu Hospitals (BAH International) Istanbul, Turkey","Small intestine resection; Breast cancer surgery; Whipple surgery; Colectomy (large bowel resection); Gastroectomy; Pancreatic cancer surgery In practice since 1978","Ask about treatment"],["Muzaffer Al","Büyük Anadolu Hospitals (BAH International) Istanbul, Turkey","Esophagectomy; Small intestine resection; Breast cancer surgery; Lumpectomy; Whipple surgery In practice since 2010","Ask about treatment"],["Erol Kilic","Büyük Anadolu Hospitals (BAH International) Istanbul, Turkey","Small intestine resection; Breast cancer surgery; Whipple surgery; Colectomy (large bowel resection); Gastroectomy; Pancreatic cancer surgery In practice since 2009","Ask about treatment"],["Kadir Dicle","Büyük Anadolu Hospitals (BAH International) Istanbul, Turkey","Small intestine resection; Breast cancer surgery; Whipple surgery; Colectomy (large bowel resection); Gastroectomy; Pancreatic cancer surgery In practice since 2000","Ask about treatment"]],[["Specialist","Clinic","Operations and experience","Ask about treatment"],["Levent Akgun Kazak","Büyük Anadolu Hospitals (BAH International) Istanbul, Turkey","Small intestine resection; Breast cancer surgery; Whipple surgery; Colectomy (large bowel resection); Gastroectomy; Pancreatic cancer surgery In practice since 2008","Ask about treatment"],["Soykan Barlas","VM Medical Park Florya Hospital Istanbul, Turkey","Small intestine resection; Breast cancer surgery; Lumpectomy; Whipple surgery; Colectomy (large bowel resection); Liver resection; Rectal resection; Gastroectomy; Pancreatic cancer surgery In practice since 2002","Ask about treatment"],["Assoc Prof Dr Guner Cakmak","Bookimed Batman, Turkey","Breast cancer surgery; Lumpectomy; Whipple surgery; Lung cancer surgery; Gastroectomy In practice since 1997","Ask about treatment"],["Yusuf Acikgoz","Lokman Hekim University Ankara Hospital Ankara, Turkey","Mastectomy; Thyroid resection; Removal of liver cancer; Removal of colon cancer; Stomach cancer surgery; Breast cancer surgery; Tongue cancer surgery; Pancreatic cancer surgery; Bladder removal with reconstruction In practice since 2016","Ask about treatment"],["Levent Kaptanoglu","VM Medical Park Pendik Hospital Istanbul, Turkey","Small intestine resection; Breast cancer surgery; Whipple surgery; Colectomy (large bowel resection); Liver resection; Pancreatic cancer surgery In practice since 1992","Ask about treatment"],["Mehmet Akif Aydin","Medical Park Bahcelievler Hospital Istanbul, Turkey","Small intestine resection; Breast cancer surgery; Whipple surgery; Colectomy (large bowel resection); Throat cancer operation; Gastroectomy; Pancreatic cancer surgery In practice since 1998","Ask about treatment"],["Selin Kapan","İstinye University Liv Hospital Topkapı Istanbul, Turkey","Esophagectomy; Small intestine resection; Breast cancer surgery; Lumpectomy; Whipple surgery; Orchiectomy; Lung cancer surgery; Colectomy (large bowel resection); Liver resection; Rectal resection; Throat cancer operation; Gastroectomy; Pancreatic cancer surgery In practice since 1995","Ask about treatment"],["Mehmet Karaca","Medical Park Antalya Hospital Complex Antalya, Turkey","Removal of liver cancer; Hysterectomy (uterus removal); Hysterectomy with DaVinci robot; Laparoscopic Hysterectomy In practice since 1995","Ask about treatment"],["Abdulcabbar Kartal","Anadolu Medical Center Istanbul, Turkey","Removal of colon cancer; Stomach cancer surgery; Esophagectomy; Hyperthermic Intraperitoneal Chemotherapy (HIPEC); Whipple surgery; Colectomy (large bowel resection); Liver resection; Rectal resection; Pancreatic cancer surgery In practice since 2007","Ask about treatment"],["Kivanc Derya Peker","Hisar Hospital Intercontinental Istanbul, Turkey","Thyroid resection; Removal of liver cancer; Removal of colon cancer; Stomach cancer surgery; Hyperthermic Intraperitoneal Chemotherapy (HIPEC); Whipple surgery; Colectomy (large bowel resection); Liver resection; Rectal resection; Pancreatic cancer surgery In practice since 2004","Ask about treatment"],["Murat Cakar","Valued Med Hub Hospitals Istanbul, Turkey","Small intestine resection; Liver resection; Rectal resection In practice since 2010","Ask about treatment"],["Volkan Kinas","Büyük Anadolu Hospitals (BAH International) Istanbul, Turkey","Esophagectomy; Small intestine resection; Liver resection; Rectal resection In practice since 2015","Ask about treatment"]],[["Specialist","Clinic","Operations and experience","Ask about treatment"],["Hanifi Onalan","Atlas University Hospital Istanbul, Turkey","Thyroid resection; Small intestine resection; Colectomy (large bowel resection); Liver resection; Gastroectomy; Pancreatic cancer surgery In practice since 1999","Ask about treatment"],["Ibrahim Aliosmanoglu","Medical Park Antalya Hospital Complex Antalya, Turkey","Whipple surgery; Liver resection; Removal of meningioma; Rectal resection; Removal of testicle tumor In practice since 2003","Ask about treatment"],["Samet Yardimci","Professor Dr. Samet Yardımcı Clinic Istanbul, Turkey","Small intestine resection; Whipple surgery; Liver resection; Gastroectomy; Pancreatic cancer surgery In practice since 2003","Ask about treatment"],["Sedat Karademir","Anadolu Medical Center Istanbul, Turkey","Whipple surgery; Gastroectomy; Pancreatic cancer surgery In practice since 1988","Ask about treatment"],["Erhun Eyüboğlu","Memorial Bahçelievler Hospital Istanbul, Turkey","Whipple surgery In practice since 1982","Ask about treatment"],["Prof. Abuzer Dirican","Istanbul Florence Nightingale Hospital Istanbul, Turkey","Whipple surgery In practice since 1996","Ask about treatment"]],[["Specialist","Clinic","Operations and experience","Ask about treatment"],["Viola Fox","Medical Center in Solingen Solingen, Germany","Mastectomy; Thyroid resection; Removal of liver cancer; Removal of colon cancer; Prostatectomy; Melanoma surgery; Stomach cancer surgery; Da Vinci Robotic System; Esophagectomy; Small intestine resection; Robotic da Vinci prostatectomy; Breast cancer surgery; Hysterectomy (uterus removal); Hyperthermic Intraperitoneal Chemotherapy (HIPEC); Whipple surgery; Hysterectomy with DaVinci robot; Lung cancer surgery; Colectomy (large bowel resection); Liver resection; Removal of meningioma; Rectal resection; Removal of testicle tumor; Throat cancer operation; Tongue cancer surgery; Gastroectomy; Pancreatic cancer surgery; Bladder removal with reconstruction; Laparoscopic Hysterectomy In practice since 2012","Ask about treatment"],["Peter Schenker","Medical Center in Solingen Solingen, Germany","Esophagectomy; Small intestine resection; Lumpectomy; Whipple surgery; Mohs microsurgery; Lung cancer surgery; Colectomy (large bowel resection); Liver resection; Rectal resection; Gastroectomy; Pancreatic cancer surgery In practice since 2007","Ask about treatment"],["Wolfgang Schröder","Helios Gesundheit Wuppertal, Germany","Removal of liver cancer; Removal of colon cancer; Nephrectomy; Stomach cancer surgery; Da Vinci Robotic System; Esophagectomy; Small intestine resection; Breast cancer surgery; Lumpectomy; Hyperthermic Intraperitoneal Chemotherapy (HIPEC); Whipple surgery; Mohs microsurgery; Lung cancer surgery; Colectomy (large bowel resection); Liver resection; Rectal resection; Throat cancer operation; Gastroectomy; Pancreatic cancer surgery In practice since 2001","Ask about treatment"],["Florian Gebauer Chief Of General And Visceral Surgery","Helios Gesundheit Wuppertal, Germany","Small intestine resection; Whipple surgery; Colectomy (large bowel resection); Liver resection; Rectal resection; Gastroectomy; Pancreatic cancer surgery In practice since 2008","Ask about treatment"],["Lars Bönicke","Helios Gesundheit Wuppertal, Germany","Removal of liver cancer; Removal of colon cancer; Stomach cancer surgery; Da Vinci Robotic System; Esophagectomy; Small intestine resection; Hyperthermic Intraperitoneal Chemotherapy (HIPEC); Whipple surgery; Orchiectomy; Colectomy (large bowel resection); Liver resection; Rectal resection In practice since 2011","Ask about treatment"]],[["Specialist","Clinic","Operations and experience","Ask about treatment"],["Xavier Centeno Fornies","Centro Médico Teknon Barcelona, Spain","Nephrectomy; Small intestine resection; Hysterectomy (uterus removal); Lumpectomy; Whipple surgery; Bladder removal; Colectomy (large bowel resection); Liver resection; Rectal resection; Removal of testicle tumor; Throat cancer operation; Gastroectomy; Pancreatic cancer surgery; Bladder removal with reconstruction In practice since 1994","Ask about treatment"],["Cesar Canales Bedoya","Hospital Ruber Internacional Madrid, Spain","Nephrectomy; Small intestine resection; Lumpectomy; Bladder removal; Colectomy (large bowel resection); Liver resection; Rectal resection; Gastroectomy In practice since 1950","Ask about treatment"],["Carlos Garcia Vasquez","Digestive Surgery and Gastroenterology Specialist Centro PAD Madrid, Spain","Removal of liver cancer; Removal of colon cancer; Stomach cancer surgery; Da Vinci Robotic System; Small intestine resection; Hyperthermic Intraperitoneal Chemotherapy (HIPEC); Colectomy (large bowel resection); Liver resection; Rectal resection; Gastroectomy In practice since 2006","Ask about treatment"]],[["Specialist","Clinic","Operations and experience","Ask about treatment"],["Riccardo Rosati","San Raffaele Milan, Italy","Stomach cancer surgery; Small intestine resection; Colectomy (large bowel resection); Rectal resection; Pancreatic cancer surgery In practice since 1985","Ask about treatment"],["Luca Aldrighetti","San Raffaele Milan, Italy","Removal of liver cancer; Liver resection In practice since 1992","Ask about treatment"],["Massimo Falconi","San Raffaele Milan, Italy","Pancreatic cancer surgery","Ask about treatment"]],[["Specialist","Clinic","Operations and experience","Ask about treatment"],["Park Sundo","NAEUN HOSPITAL Incheon, Republic of Korea","Colectomy (large bowel resection); Removal of meningioma; Pancreatic cancer surgery In practice since 2000","Ask about treatment"],["Lee Seok Gu","Myongji Hospital Goyang, Republic of Korea","Liver resection In practice since 1980","Ask about treatment"]],[["Specialist","Clinic","Operations and experience","Ask about treatment"],["Martin Schindl","Wiener Privatklinik (WPK) Vienna, Austria","Esophagectomy; Small intestine resection; Pancreatic cancer surgery In practice since 1994","Ask about treatment"],["Emanuel Sporn","Wiener Privatklinik (WPK) Vienna, Austria","Liver resection In practice since 1998","Ask about treatment"],["Klaus Kaczirek","Wiener Privatklinik (WPK) Vienna, Austria","Liver resection In practice since 2001","Ask about treatment"]]]},{"id":"programmes","title":"Programmes and prices","text":"Programmes and prices Centro Médico Teknon · 2 entries VM Medical Park Pendik Hospital · 1 entries Ponderas Academic Hospital · 1 entries Anadolu Medical Center · 1 entries Sheba Medical Center · 5 entries Memorial Göztepe Hospital · 2 entries Memorial Şişli Hospital · 2 entries Memorial Bahçelievler Hospital · 2 entries Memorial Ataşehir Hospital · 2 entries Sources (18) Whipple surgery, leading surgeon Dr.Alberto Díez-Caballero Whipple Surgery by German Surgery Society Member — MRI, CT, Full Board & 7-Night Stay Included robot-assisted Whipple procedure Pressurized Intraperitoneal Aerosol Chemotherapy (Minimally Invasive) PIPAC WHIPPLE PROCEDURE – SURGICAL REMOVAL OF THE PANCREATIC HEAD, DUODENUM, AND BILE DUCT Pancreatic neuroendocrine tumor PNET (assessment and Whipple surgery) Whipple procedure for pancreatic head cancer Pancreatic neuroendocrine tumor PNET (assessment and Whipple surgery) Pancreatic neuroendocrine tumor PNET (assessment and Whipple surgery) Whipple procedure for pancreatic head cancer at Sheba Hospital- Top-10 Hospitals 2026 by Newsweek Whipple Procedure (Pancreaticoduodenectomy) Laparoscopic Whipple Procedure (All Surgical Procedures Included) Whipple Procedure (Pancreaticoduodenectomy) Laparoscopic Whipple Procedure (All Surgical Procedures Included) Whipple Procedure (Pancreaticoduodenectomy) Laparoscopic Whipple Procedure (All Surgical Procedures Included) Whipple Procedure (Pancreaticoduodenectomy) Laparoscopic Whipple Procedure (All Surgical Procedures Included)","links":[{"label":"Centro Médico Teknon","url":"https://hub.bookimed.com/oncologic-surgery/clinic-78/"},{"label":"Bookimed offer","url":"https://us-uk.bookimed.com/offer-procedure/6571d527cca6b91ad10130e2/"},{"label":"Read the public programme source","url":"https://us-uk.bookimed.com/offer-procedure/6571d527cca6b91ad10130e2/"},{"label":"Centro 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Currency: EUR; Subject: Price; Public programme price: Amount: 28034.45; Currency: USD; How the programme is displayed: The price shown on the public programme page is used. Read the public programme source","Ask about treatment"],["Pressurized Intraperitoneal Aerosol Chemotherapy (Minimally Invasive) PIPAC","Centro Médico Teknon","USD 22427.56 Bookimed offer , Oct 2026","What the programme includes Pressurized Intraperitoneal Aerosol Chemotherapy (Minimally Invasive) PIPAC Included: Removal of colon cancer Included: Stomach cancer surgery Included: Pancreatic cancer surgery Excluded: Airfare Excluded: Additional activities not included Stay: 2 days in the hospital Stay: 7 days in the hotel Source differences Catalogue price: Amount: 20000.0; Currency: EUR; Subject: Price; Public programme price: Amount: 22427.56; Currency: USD; How the programme is displayed: The price shown on the public programme page is used. Subject: Stay; How the programme is displayed: Stay lengths use the units in the Duration section; nights in the page title are not converted to days.; Page title: Stomach cancer surgery in Spain: Price & 7-Night All-Inclusive Package Read the public programme source","Ask about treatment"]],[["Public programme","Clinic","Recorded price","Programme details","Request a quote"],["Whipple Surgery by German Surgery Society Member — MRI, CT, Full Board & 7-Night Stay Included","VM Medical Park Pendik Hospital","USD 18000 Bookimed offer , Oct 2026","What the programme includes Whipple Surgery by German Surgery Society Member — MRI, CT, Full Board & 7-Night Stay Included Included: Whipple surgery Included: CT Scan Included: Blood tests Included: Follow-up examination Included: Consultation with an anesthesiologist Included: Language assistance Included: MRI of one area Included: Consultation with a gastroenterologist Included: Follow-up visit Included: Full board (breakfast+lunch+dinner+drinks) Included: Hospitalization Included: Transfer airport-hotel-clinic-airport Excluded: Airfare Excluded: Hotel Excluded: Additional activities not included Stay: 7 days in the hospital Additional source terms: Expert Surgical Care for Complex Conditions – Whipple Surgery Package Whipple surgery, or pancreaticoduodenectomy, is a highly specialized procedure used to treat pancreatic cancer, bile duct tumors, or other conditions affecting the head of the pancreas. Performed by experienced gastrointestinal surgeon, this complex yet life-extending operation involves the removal of the head of the pancreas, part of the small intestine (duodenum), gallbladder, and bile duct followed by precise reconstruction of the digestive system. Our comprehensive package includes advanced diagnostic imaging, pre-operative consultations, the full surgical procedure, 7 days of hospital stay in a private room, post-operative intensive care, and nutritional support and follow-up. You’ll also benefit from VIP airport–hospital–hotel transfers and multilingual care coordination, ensuring your treatment experience is smooth, safe, and fully supported from arrival to recovery. Trust your care to expert hands—your healing journey starts with precision and compassion. Read the public programme source","Ask about treatment"]],[["Public programme","Clinic","Recorded price","Programme details","Request a quote"],["robot-assisted Whipple procedure","Ponderas Academic Hospital","USD 51630 Bookimed offer , Oct 2026","What the programme includes robot-assisted Whipple procedure Included: Complex diagnosis of Pancreatic cancer Included: Whipple surgery Excluded: Airfare Excluded: Hotel Excluded: Additional activities not included Excluded: Accommodation is not included Excluded: Transfer is not included Stay: 8 days in the hospital Read the public programme source","Ask about treatment"]],[["Public programme","Clinic","Recorded price","Programme details","Request a quote"],["WHIPPLE PROCEDURE – SURGICAL REMOVAL OF THE PANCREATIC HEAD, DUODENUM, AND BILE DUCT","Anadolu Medical Center","USD 29000 Bookimed offer , Oct 2026","What the programme includes WHIPPLE PROCEDURE – SURGICAL REMOVAL OF THE PANCREATIC HEAD, DUODENUM, AND BILE DUCT Included: Pancreatic cancer surgery Included: Whipple surgery Included: Consultation with an anesthesiologist Included: Post-op medications Included: Blood tests Included: Preoperative tests Included: General anesthesia Included: Electrocardiogram (ECG) Included: Medical Examination for pre-operation Included: Transfer airport-clinic-airport Excluded: Airfare Excluded: Hotel Excluded: Additional activities not included Excluded: Accommodation is not included Stay: 17 days in the hospital Additional source terms: Advanced pancreatic cancer surgery performed by experienced hepatopancreatobiliary surgeons in a fully equipped tertiary hospital. The procedure includes comprehensive perioperative care, ICU monitoring, and multidisciplinary evaluation to ensure patient safety and optimal surgical outcomes. Included Services 15-night inpatient hospital stay in a standard room with accommodation for one accompanying person 2 days of intensive care unit (ICU) monitoring Pre-operative evaluation by an anesthesiologist Routine anesthesia-related laboratory and diagnostic tests Daily physician visits during hospitalization All procedure-related surgical materials and medications Standard pathological analysis of surgical specimens Additional Notes: The total cost may vary depending on medication dosage and patient-specific requirements. Any additional diagnostic tests, consultations, extended pathology, or specialized procedures required during hospitalization will be charged separately. The listed price is valid only for the specified treatment. If the treatment plan changes after the physician consultation or during surgery, the total cost will be updated accordingly. Additional charges: Advanced pancreatic cancer surgery performed by experienced hepatopancreatobiliary surgeons in a fully equipped tertiary hospital. The procedure includes comprehensive perioperative care, ICU monitoring, and multidisciplinary evaluation to ensure patient safety and optimal surgical outcomes. Included Services 15-night inpatient hospital stay in a standard room with accommodation for one accompanying person 2 days of intensive care unit (ICU) monitoring Pre-operative evaluation by an anesthesiologist Routine anesthesia-related laboratory and diagnostic tests Daily physician visits during hospitalization All procedure-related surgical materials and medications Standard pathological analysis of surgical specimens Additional Notes: The total cost may vary depending on medication dosage and patient-specific requirements. Any additional diagnostic tests, consultations, extended pathology, or specialized procedures required during hospitalization will be charged separately. The listed price is valid only for the specified treatment. If the treatment plan changes after the physician consultation or during surgery, the total cost will be updated accordingly. Read the public programme source","Ask about treatment"]],[["Public programme","Clinic","Recorded price","Programme details","Request a quote"],["Pancreatic neuroendocrine tumor PNET (assessment and Whipple surgery)","Sheba Medical Center","USD 40000 Bookimed offer , Oct 2026","What the programme includes Pancreatic neuroendocrine tumor PNET (assessment and Whipple surgery) Included: Consultation with an oncologist Included: Lab tests Included: Consultation with a surgeon Included: Histopathology revision Included: Whipple surgery Included: Parking Included: 24-hr nurse services Included: Electrooculography (EOG) Included: Electrocardiogram (ECG) Included: Consultation with a doctor Included: General anesthesia Included: Preoperative tests Included: Medications Included: Follow-up examination Included: Post-op medications Included: Consultation with an anesthesiologist Included: Consumable materials Included: Complete blood count (CBC) Included: Biochemistry blood test Included: MRI of one area Included: PET/CT Included: Thyroid function tests (including T3, T4, TSH) Included: Follow-up visit Included: Biopsy Included: Full board (breakfast+lunch+dinner+drinks) Excluded: Airfare Excluded: Additional activities not included Excluded: Accommodation is not included Excluded: Transfer is not included Stay: 6 days in the hospital Stay: 10 days in the hotel Source differences Subject: Stay; How the programme is displayed: Stay lengths use the units in the Duration section; nights in the page title are not converted to days.; Page title: Whipple surgery in Israel: Price & 10-Night All-Inclusive Package Read the public programme source","Ask about treatment"],["Whipple procedure for pancreatic head cancer","Sheba Medical Center","USD 40000 Bookimed offer , Oct 2026","What the programme includes Whipple procedure for pancreatic head cancer Included: Whipple surgery Excluded: Airfare Excluded: Hotel Excluded: Additional activities not included Excluded: Accommodation is not included Excluded: Transfer is not included Stay: 6 days in the hospital Stay: 10 days in the hotel Source differences Subject: Stay; How the programme is displayed: Stay lengths use the units in the Duration section; nights in the page title are not converted to days.; Page title: Whipple surgery in Israel: Price & 10-Night All-Inclusive Package Read the public programme source","Ask about treatment"],["Pancreatic neuroendocrine tumor PNET (assessment and Whipple surgery)","Sheba Medical Center","USD 40000 Bookimed offer , Oct 2026","What the programme includes Pancreatic neuroendocrine tumor PNET (assessment and Whipple surgery) Included: Consultation with an oncologist Included: Lab tests Included: Consultation with a surgeon Included: Histopathology revision Included: Whipple surgery Included: Parking Included: 24-hr nurse services Included: Electrooculography (EOG) Included: Electrocardiogram (ECG) Included: Consultation with a doctor Included: General anesthesia Included: Preoperative tests Included: Medications Included: Follow-up examination Included: Post-op medications Included: Consultation with an anesthesiologist Included: Consumable materials Included: Complete blood count (CBC) Included: Biochemistry blood test Included: MRI of one area Included: PET/CT Included: Thyroid function tests (including T3, T4, TSH) Included: Follow-up visit Included: Biopsy Included: Full board (breakfast+lunch+dinner+drinks) Excluded: Airfare Excluded: Additional activities not included Excluded: Accommodation is not included Excluded: Transfer is not included Stay: 6 days in the hospital Stay: 10 days in the hotel Source differences Subject: Stay; How the programme is displayed: Stay lengths use the units in the Duration section; nights in the page title are not converted to days.; Page title: Whipple surgery in Israel: Price & 10-Night All-Inclusive Package Read the public programme source","Ask about treatment"],["Pancreatic neuroendocrine tumor PNET (assessment and Whipple surgery)","Sheba Medical Center","USD 45000 Bookimed offer , Oct 2026","What the programme includes Pancreatic neuroendocrine tumor PNET (assessment and Whipple surgery) Included: Consultation with an oncologist Included: Consultation with creation of treatment plan Included: Complete blood count Included: Consultation with an endocrinologist Included: ECG Included: Blood test for hormonal profile Included: Consultation with a surgeon Included: Biochemical blood analysis Included: PET-CT with Gallium 68 (DOTATATE) Included: Abdominal MRI Included: Pancreas biopsy Included: Histopathology revision Included: Albumin Blood Test Included: Endo-ultrasound Included: AST and ALT Blood Test Included: Complex diagnosis of Pancreatic cancer Included: Blood sugar level Included: Alkaline Phosphatase Test Included: Whipple surgery Included: Coffee Zone Included: 3 meals per day by nutritionist Included: 24-hr nurse services Included: Cottage Included: Cleanse your body Excluded: Airfare Excluded: Hotel Excluded: Additional activities not included Excluded: Accommodation is not included Excluded: Transfer is not included Stay: 6 days in the hospital Stay: 14 days in the hotel Source differences Subject: Stay; How the programme is displayed: Stay lengths use the units in the Duration section; nights in the page title are not converted to days.; Page title: AST and ALT Blood Test in Israel: Price & 14-Night All-Inclusive Package Read the public programme source","Ask about treatment"],["Whipple procedure for pancreatic head cancer at Sheba Hospital- Top-10 Hospitals 2026 by Newsweek","Sheba Medical Center","USD 46000 Bookimed offer , Oct 2026","What the programme includes Whipple procedure for pancreatic head cancer at Sheba Hospital- Top-10 Hospitals 2026 by Newsweek Included: PET/CT Included: Consultation with an oncologist Included: Lab tests Included: Biopsy Included: Extended analysis of blood Included: Histopathology revision Included: Complex diagnosis of Pancreatic cancer Included: Whipple surgery Included: Electrocardiogram (ECG) Included: Consultation with a surgeon Included: Follow-up visit Included: Hospitalization + afterward hotel stay Included: Transfer to the clinic Excluded: Airfare Excluded: Additional activities not included Stay: 6 days in the hospital Stay: 14 days in the hotel Source differences Subject: Stay; How the programme is displayed: Stay lengths use the units in the Duration section; nights in the page title are not converted to days.; Page title: Pancreatic cancer surgery in Israel: Price & 14-Night All-Inclusive Package Read the public programme source","Ask about treatment"]],[["Public programme","Clinic","Recorded price","Programme details","Request a quote"],["Whipple Procedure (Pancreaticoduodenectomy)","Memorial Göztepe Hospital","USD 31920 Bookimed offer , Oct 2026","What the programme includes Whipple Procedure (Pancreaticoduodenectomy) Included: Whipple surgery Included: Transfer airport-hotel-clinic-airport Excluded: Airfare Excluded: Hotel Excluded: Additional activities not included Excluded: Accommodation is not included Stay: 7 days in the hospital Read the public programme source","Ask about treatment"],["Laparoscopic Whipple Procedure (All Surgical Procedures Included)","Memorial Göztepe Hospital","USD 33600 Bookimed offer , Oct 2026","What the programme includes Laparoscopic Whipple Procedure (All Surgical Procedures Included) Included: Whipple surgery Included: Transfer airport-hotel-clinic-airport Excluded: Airfare Excluded: Hotel Excluded: Additional activities not included Excluded: Accommodation is not included Stay: 10 days in the hospital Read the public programme source","Ask about treatment"]],[["Public programme","Clinic","Recorded price","Programme details","Request a quote"],["Whipple Procedure (Pancreaticoduodenectomy)","Memorial Şişli Hospital","USD 31920 Bookimed offer , Oct 2026","What the programme includes Whipple Procedure (Pancreaticoduodenectomy) Included: Whipple surgery Included: Transfer airport-hotel-clinic-airport Excluded: Airfare Excluded: Hotel Excluded: Additional activities not included Excluded: Accommodation is not included Stay: 7 days in the hospital Read the public programme source","Ask about treatment"],["Laparoscopic Whipple Procedure (All Surgical Procedures Included)","Memorial Şişli Hospital","USD 33600 Bookimed offer , Oct 2026","What the programme includes Laparoscopic Whipple Procedure (All Surgical Procedures Included) Included: Whipple surgery Included: Transfer airport-hotel-clinic-airport Excluded: Airfare Excluded: Hotel Excluded: Additional activities not included Excluded: Accommodation is not included Stay: 10 days in the hospital Read the public programme source","Ask about treatment"]],[["Public programme","Clinic","Recorded price","Programme details","Request a quote"],["Whipple Procedure (Pancreaticoduodenectomy)","Memorial Bahçelievler Hospital","USD 31920 Bookimed offer , Oct 2026","What the programme includes Whipple Procedure (Pancreaticoduodenectomy) Included: Whipple surgery Included: Transfer airport-hotel-clinic-airport Excluded: Airfare Excluded: Hotel Excluded: Additional activities not included Excluded: Accommodation is not included Stay: 7 days in the hospital Read the public programme source","Ask about treatment"],["Laparoscopic Whipple Procedure (All Surgical Procedures Included)","Memorial Bahçelievler Hospital","USD 33600 Bookimed offer , Oct 2026","What the programme includes Laparoscopic Whipple Procedure (All Surgical Procedures Included) Included: Whipple surgery Included: Transfer airport-hotel-clinic-airport Excluded: Airfare Excluded: Hotel Excluded: Additional activities not included Excluded: Accommodation is not included Stay: 10 days in the hospital Read the public programme source","Ask about treatment"]],[["Public programme","Clinic","Recorded price","Programme details","Request a quote"],["Whipple Procedure (Pancreaticoduodenectomy)","Memorial Ataşehir Hospital","USD 31920 Bookimed offer , Oct 2026","What the programme includes Whipple Procedure (Pancreaticoduodenectomy) Included: Whipple surgery Included: Transfer airport-hotel-clinic-airport Excluded: Airfare Excluded: Hotel Excluded: Additional activities not included Excluded: Accommodation is not included Stay: 7 days in the hospital Read the public programme source","Ask about treatment"],["Laparoscopic Whipple Procedure (All Surgical Procedures Included)","Memorial Ataşehir Hospital","USD 33600 Bookimed offer , Oct 2026","What the programme includes Laparoscopic Whipple Procedure (All Surgical Procedures Included) Included: Whipple surgery Included: Transfer airport-hotel-clinic-airport Excluded: Airfare Excluded: Hotel Excluded: Additional activities not included Excluded: Accommodation is not included Stay: 10 days in the hospital Read the public programme source","Ask about treatment"]]]},{"id":"research","title":"References and further reading","text":"References and further reading Pancreas_liver surgery surgeons A Comparison of Five-Year Survival Rates Between Thermal Ablation and Hepatic Resection for Colorectal Cancer Metastasis to the Liver: A Systematic Review and Meta-Analysis. Laparoscopic liver resection for pediatric liver tumors: a systematic review and meta-analysis. Comparative analysis of treatment modalities for solitary, small (≤3 cm) hepatocellular carcinoma: A systematic review and network meta-analysis of oncologic outcomes. Multimodal therapy with or without irreversible electroporation for unresectable locally advanced pancreatic adenocarcinoma: a systematic review and meta-analysis. Comparison of laparoscopic hepatectomy and percutaneous radiofrequency ablation for the treatment of small hepatocellular carcinoma: a meta-analysis. Comparative Study of Laparoscopic Hepatectomy, Open Hepatectomy, and Percutaneous Radiofrequency Ablation for Small Hepatocellular Carcinoma: An Ancillary Study of the SURF Trial. A multicenter case-controlled study on laparoscopic hepatectomy versus microwave ablation as first-line therapy for 3-5 cm hepatocellular carcinoma in patients aged 60 and older. Mortality and complications in patients with obesity after open, robotic or laparoscopic pancreaticoduodenectomy: A systematic review and meta-analysis. Microwave coagulation for liver metastases. Microwave ablation compared with hepatic resection for the treatment of hepatocellular carcinoma and liver metastases: a systematic review and meta-analysis. Minimally invasive hepatectomy vs. thermoablation for single small (≤3 cm) hepatocellular carcinoma: A weighted real-life national comparison. Minimally invasive versus open pancreatoduodenectomy for pancreatic ductal adenocarcinoma: Individual patient data meta-analysis of randomized trials. Long-term survival after minimally invasive resection versus open pancreaticoduodenectomy for periampullary cancers: a systematic review, meta-analysis and meta-regression. Comparisons of short-term and long-term results between laparoscopic between open pancreaticoduodenectomy for pancreatic tumors: A systematic review and meta-analysis. Laparoscopic versus open pancreaticoduodenectomy for pancreatic and periampullary tumor: A meta-analysis of randomized controlled trials and non-randomized comparative studies. Standard Distal Pancreatectomy Versus Radical Antegrade Modular Pancreatosplenectomy: A Systematic Review and Meta-Analysis of the Literature. Robotic distal pancreatectomy for pancreatic ductal adenocarcinoma: a systematic review and meta-analysis of outcomes in Western vs. Eastern Centers. Meta-analysis of pancreatic re-resection for locally recurrent pancreatic cancer following index pancreatectomy. Comparison of surgical resection and radiofrequency ablation for the treatment of small hepatocellular carcinoma (≤ 3 cm): an updated meta-analysis. Radiofrequency ablation versus surgical resection as first-line treatment for very early stage hepatocellular carcinoma: a systematic review with meta-analysis. Oncological outcomes of robotic pancreatectomy in patients with pancreatic cancer who receive adjuvant chemotherapy: A propensity score-matched retrospective cohort study. Robotic versus laparoscopic pancreaticoduodenectomy for pancreatic and periampullary tumors: a meta-analysis. Evaluation of feasibility and clinical outcomes of robot-assisted pancreaticoduodenectomy after neoadjuvant treatment for patients with advanced pancreatic ductal adenocarcinoma: a retrospective propensity score-matched cohort study. [Short-term outcomes of the TRIANGLE operation after neoadjuvant chemotherapy in locally advanced pancreatic cancer]. Long-term outcomes of upfront pancreatectomy with venous resection for pancreatic cancer: a single-center, retrospective analysis. Upfront surgery vs. neoadjuvant therapy in pancreatic cancer with venous involvement: a multicenter retrospective analysis.","links":[{"label":"Pancreas_liver surgery surgeons","url":"https://hub.bookimed.com/oncologic-surgery/surgeons-organ-pancreas-liver/"},{"label":"A Comparison of Five-Year Survival Rates Between Thermal Ablation and Hepatic Resection for Colorectal Cancer Metastasis to the Liver: A Systematic Review and Meta-Analysis.","url":"https://pubmed.ncbi.nlm.nih.gov/41488285/"},{"label":"Laparoscopic liver resection for pediatric liver tumors: a systematic review and meta-analysis.","url":"https://pubmed.ncbi.nlm.nih.gov/42568476/"},{"label":"Comparative analysis of treatment modalities for solitary, small (≤3 cm) hepatocellular carcinoma: A systematic review and network meta-analysis of oncologic outcomes.","url":"https://pubmed.ncbi.nlm.nih.gov/39609218/"},{"label":"Multimodal therapy with or without irreversible electroporation for unresectable locally advanced pancreatic adenocarcinoma: a systematic review and meta-analysis.","url":"https://pubmed.ncbi.nlm.nih.gov/35000842/"},{"label":"Comparison of laparoscopic hepatectomy and percutaneous radiofrequency ablation for the treatment of small hepatocellular carcinoma: a meta-analysis.","url":"https://pubmed.ncbi.nlm.nih.gov/38443897/"},{"label":"Comparative Study of Laparoscopic Hepatectomy, Open Hepatectomy, and Percutaneous Radiofrequency Ablation for Small Hepatocellular Carcinoma: An Ancillary Study of the SURF Trial.","url":"https://pubmed.ncbi.nlm.nih.gov/41063735/"},{"label":"A multicenter case-controlled study on laparoscopic hepatectomy versus microwave ablation as first-line therapy for 3-5 cm hepatocellular carcinoma in patients aged 60 and older.","url":"https://pubmed.ncbi.nlm.nih.gov/38320101/"},{"label":"Mortality and complications in patients with obesity after open, robotic or laparoscopic pancreaticoduodenectomy: A systematic review and 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feasibility and clinical outcomes of robot-assisted pancreaticoduodenectomy after neoadjuvant treatment for patients with advanced pancreatic ductal adenocarcinoma: a retrospective propensity score-matched cohort study.","url":"https://pubmed.ncbi.nlm.nih.gov/40785812/"},{"label":"[Short-term outcomes of the TRIANGLE operation after neoadjuvant chemotherapy in locally advanced pancreatic cancer].","url":"https://pubmed.ncbi.nlm.nih.gov/38310383/"},{"label":"Long-term outcomes of upfront pancreatectomy with venous resection for pancreatic cancer: a single-center, retrospective analysis.","url":"https://pubmed.ncbi.nlm.nih.gov/41231655/"},{"label":"Upfront surgery vs. neoadjuvant therapy in pancreatic cancer with venous involvement: a multicenter retrospective analysis.","url":"https://pubmed.ncbi.nlm.nih.gov/42771072/"}]},{"id":"request","title":"Request a treatment proposal","text":"Request a treatment proposal Share your diagnosis and reports through the Bookimed request form.","links":[]},{"id":"request-form","title":"Ask about treatment","text":"Ask about treatment What would you like help with? Answer a few questions on Bookimed, then add your contact details to request help. Privacy policy Open the Bookimed request form","links":[{"label":"Privacy policy","url":"https://us-uk.bookimed.com/page/privacy-policy/"}]}],"introduction":"Oncologic surgery guide / pancreas_liver Decision guide pancreas_liver For a Whipple operation, also called pancreaticoduodenectomy, laparoscopic surgery is a minimally invasive approach; robotic surgery is another approach alongside open surgery. 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