Sutures and Wound Repair/ General Surgery (ABSA) Practice Test

Which surgical procedure is performed for carcinoma of the head of the pancreas?

1. Whipple

2. Colectomy

3. Cholecystectomy

4. Esophagectomy

The correct answer is: Whipple

The Whipple procedure, also known as pancreaticoduodenectomy, is the surgical intervention performed for carcinoma of the head of the pancreas. This complex operation involves the removal of the head of the pancreas, the duodenum, a portion of the bile duct, and sometimes part of the stomach. The goal is to resect the tumor as well as to ensure that surrounding structures which may harbor cancer cells are also removed. The Whipple procedure is indicated primarily for pancreatic tumors that are deemed resectable, meaning they have not invaded surrounding critical blood vessels or distant organs. This operation is a critical surgical option in the treatment of pancreatic cancer, especially when diagnosed early. Key to its success is the ability to obtain clear surgical margins, which is vital for preventing recurrence. In contrast, the other procedures listed are not relevant to the treatment of pancreatic carcinoma. Colectomy involves the removal of part or all of the colon, typically for colorectal cancer or inflammatory bowel disease. Cholecystectomy refers to the removal of the gallbladder, often due to gallstones, rather than pancreatic tumors. Finally, esophagectomy involves the removal of part or all of the esophagus, commonly performed for esophageal cancer or severe gastroesophageal reflux disease