{"id":347,"date":"2020-03-09T14:57:37","date_gmt":"2020-03-09T12:57:37","guid":{"rendered":"https:\/\/www.barnaclinic.com\/blog\/cirugia-del-pancreas\/ca\/?p=347"},"modified":"2020-03-18T18:58:04","modified_gmt":"2020-03-18T16:58:04","slug":"cirurgia-de-whipple","status":"publish","type":"post","link":"https:\/\/www.barnaclinic.com\/blog\/cirugia-del-pancreas\/ca\/cirurgia-de-whipple\/","title":{"rendered":"Qu\u00e8 \u00e9s la cirurgia de Whipple? Objectiu, resultats i postoperatori"},"content":{"rendered":"

La\u00a0cirurgia de Whipple<\/strong>\u00a0o\u00a0duodenopancreatectomia cef\u00e0lica<\/strong>\u00a0\u00e9s un procediment quir\u00fargic indicat, sobretot, en casos de\u00a0tumors localitzats al cap pancre\u00e0tic<\/strong><\/a>.<\/span>\u00a0La\u00a0intervenci\u00f3 de Whipple<\/strong>\u00a0\u00e9s molt agressiva i, per aquest motiu, s’ha de fer obligat\u00f2riament en centres amb un elevat volum i experi\u00e8ncia en\u00a0cirurgia del p\u00e0ncrees<\/strong><\/a>, que compten amb un\u00a0equip multidisciplinari expert en aquest tipus d’intervencions<\/strong><\/a>.<\/span><\/p>\n

<\/p>\n

\u00bfEN QU\u00c8 CONSISTEIX LA\u00a0DUODENOPANCREATECTOMIA CEF\u00c0LICA?<\/strong><\/span><\/h2>\n

La\u00a0intervenci\u00f3 de Whipple<\/strong>\u00a0rep tamb\u00e9 el nom de\u00a0duodenopancreatectomia cef\u00e0lica<\/strong>\u00a0per qu\u00e8 consisteix en\u00a0l’extirpaci\u00f3 del\u00a0cap del p\u00e0ncrees<\/a><\/strong>, el duod\u00e8, la ves\u00edcula biliar i la via biliar extrahep\u00e0tica en una primera fase.<\/span>\u00a0En una segona fase, es procedeix a la restauraci\u00f3 de la continu\u00eftat pancre\u00e0tica, biliar i digestiva.<\/span>\u00a0Que s’aconsegueix mitjan\u00e7ant\u00a0anastomosi<\/em><\/a>.<\/span>\u00a0\u00c9s a dir, entroncaments entre\u00a0el p\u00e0ncrees<\/a>,<\/strong>\u00a0la via biliar i l’est\u00f3mac, amb l’intest\u00ed prim.<\/span><\/p>\n

OBJECTIU DE LA CIRURGIA DE WHIPPLE<\/span><\/h2>\n

El principal\u00a0objectiu de la cirurgia de Whipple<\/strong>\u00a0\u00e9s el\u00a0tractament quir\u00fargic del c\u00e0ncer de p\u00e0ncrees<\/strong><\/a>.<\/span>\u00a0Amb aquest procediment, es busca l’extirpaci\u00f3 dels tumors localitzats en determinades regions del p\u00e0ncrees<\/strong><\/a> (sobretot al cap pancre\u00e0tic), perqu\u00e8 no creixin i es propaguin a altres \u00f2rgans.<\/span><\/p>\n

\n

\"sanchez-cabus\"<\/a><\/strong><\/em><\/h4>\n

\u00abL’objectiu de la cirurgia de Whipple \u00e9s el\u00a0tractament del c\u00e0ncer pancre\u00e0tic\u00a0mitjan\u00e7ant l’extirpaci\u00f3 dels tumors localitzats en determinades regions del\u00a0<\/span>p\u00e0ncrees\u00bb<\/span><\/h4>\n

Dr.\u00a0Santiago S\u00e1nchez Cab\u00fas<\/a><\/p><\/blockquote>\n

RESULTATS DEL PROCEDIMENT DE WHIPPLE<\/h2>\n

Cl\u00e0ssicament, els\u00a0\u00edndexs de mortalitat de la cirurgia de Whipple<\/strong>\u00a0han estat dels m\u00e9s alts entre les intervencions a nivell abdominal.<\/span>\u00a0En l’actualitat, es considera que la xifra de\u00a0mortalitat postoperat\u00f2ria acceptable despr\u00e9s d’una cirurgia de Whipple hauria d’estar entre un 3 i un 5%.<\/strong><\/span>\u00a0No obstant aix\u00f2, en centres com el nostre, amb alt volum i experi\u00e8ncia en\u00a0cirurgia del p\u00e0ncrees<\/strong><\/a>, els resultats s\u00f3n millors, situant-se\u00a0al voltant de l’1%.<\/strong><\/span><\/p>\n

\n

\"sanchez-cabus\"<\/a><\/strong><\/em><\/h4>\n

\u00abUna mortalitat postoperat\u00f2ria acceptable despr\u00e9s de cirurgia de Whipple hauria d’estar entre un 3-5%. En centres com el nostre, amb alt volum i experi\u00e8ncia en cirurgia del p\u00e0ncrees, estan al voltant de l’1%\u00bb<\/h4>\n

Dr.\u00a0Santiago S\u00e1nchez Cab\u00fas<\/a><\/p><\/blockquote>\n

\n

T’INTERESSA…<\/h4>\n

– Complicacions en cirurgia del p\u00e0ncrees. Qu\u00e8 pot passar?<\/a><\/h4>\n

–\u00a0\u00bfSe puede curar el c\u00e1ncer de p\u00e1ncreas con cirug\u00eda?<\/a><\/h4>\n

–\u00a0\u00bfQu\u00e9 calidad de vida tendr\u00e9 tras la cirug\u00eda del p\u00e1ncreas?<\/a><\/h4>\n<\/div>\n

RECUPERACI\u00d3 DE L’OPERACI\u00d3 DE WHIPPLE<\/span><\/h2>\n

La\u00a0recuperaci\u00f3 d’una cirurgia de Whipple<\/strong><\/a>\u00a0vindr\u00e0 determinada per la pres\u00e8ncia o no d’una complicaci\u00f3 a nivell postoperatori<\/strong><\/a>.<\/span>\u00a0El temps d’ingr\u00e9s per a un procediment de Whipple \u00e9s d’uns 7-10 dies.<\/strong><\/span>\u00a0En general, aquells pacients que no han presentat cap complicaci\u00f3,\u00a0al cap d’uns 1,5-2 mesos poden realitzar una vida relativament normal.<\/strong><\/span>\u00a0No obstant aix\u00f2, en els pacients que presentin complicacions, el proc\u00e9s de\u00a0recuperaci\u00f3 de la cirurgia de Whipple<\/strong>\u00a0es pot prolongar substancialment.<\/span>\u00a0Tot dependr\u00e0 de cada cas, del tipus de complicaci\u00f3 en la cirurgia del p\u00e0ncrees i de la seva gravetat<\/strong><\/a>.<\/span><\/p>\n

\n

\"sanchez-cabus\"<\/a><\/strong><\/em><\/h4>\n

\u00abEl temps de recuperaci\u00f3 d’una cirurgia de Whipple sol ser d’uns 1,5 – 2 mesos, si no hi ha complicacions. Despr\u00e9s d’aquest temps, es pot realitzar vida relativament normal\u00bb<\/h4>\n

Dr.\u00a0Santiago S\u00e1nchez Cab\u00fas<\/a><\/p><\/blockquote>\n

\n

T’INTERESSA…<\/h4>\n

– Quines s\u00f3n les conseq\u00fc\u00e8ncies despr\u00e9s de l\u2019extirpaci\u00f3 parcial o total del p\u00e0ncrees? La insufici\u00e8ncia pancre\u00e0tica<\/a><\/h4>\n

– Recuperaci\u00f3 d\u2019una cirurgia del p\u00e0ncrees: Mesures generals a tenir en compte<\/a><\/h4>\n<\/div>\n

POSTOPERATORI DE LA CIRURGIA DE WHIPPLE<\/h2>\n

En el\u00a0postoperatori de la cirurgia de Whipple,<\/strong>\u00a0les\u00a0cures d’infermeria<\/strong>\u00a0requerides s\u00f3n relativament comunes a la resta de procediments.<\/span>\u00a0No obstant aix\u00f2, \u00e9s fonamental un\u00a0equip d’infermeria expert en cirurgia del p\u00e0ncrees<\/a>.<\/strong><\/span>\u00a0En aquest sentit, la infermera ha d’estar acostumada a aquest tipus de pacients, per poder proporcionar una millor cura i identificar qualsevol desviaci\u00f3 del curs cl\u00ednic normal.<\/span>\u00a0Normalment, les\u00a0cures d’infermeria per a una cirurgia de Whipple<\/strong>\u00a0solen estar relacionades amb els drenatges intraabdominals i amb la possible pres\u00e8ncia de tumors pancre\u00e0tics<\/strong> o biliars.<\/span><\/p>\n

\n

\"sanchez-cabus\"<\/a><\/strong><\/em><\/h4>\n

\u00abLes cures d’infermeria per a una cirurgia de Whipple solen estar relacionades amb els drenatges intraabdominals i amb la possible pres\u00e8ncia de tumors pancre\u00e0tics o biliars\u00bb<\/h4>\n

Dr.\u00a0Santiago S\u00e1nchez Cab\u00fas<\/a><\/p><\/blockquote>\n

\n
\n

VOL\u00a0CONTACTAR\u00a0AMB EL DR. SANTIAGO S\u00c1NCHEZ CAB\u00daS?<\/span><\/h1>\n

DEMANAR CITA<\/a>\u00a0| SOL\u00b7LICITAR TELEVISITA<\/a><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

La\u00a0cirurgia de Whipple\u00a0o\u00a0duodenopancreatectomia cef\u00e0lica\u00a0\u00e9s un procediment quir\u00fargic indicat, sobretot, en casos de\u00a0tumors localitzats al cap pancre\u00e0tic.\u00a0La\u00a0intervenci\u00f3 de Whipple\u00a0\u00e9s molt agressiva i, per aquest motiu, s’ha de fer obligat\u00f2riament en centres amb un elevat volum i experi\u00e8ncia en\u00a0cirurgia del p\u00e0ncrees, que compten amb un\u00a0equip multidisciplinari expert en aquest tipus d’intervencions.<\/p>\n","protected":false},"author":2,"featured_media":340,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[63,44],"tags":[50,100,102,101,103,104,105,106,107],"yoast_head":"\nQu\u00e8 \u00e9s la cirurgia de Whipple? 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