What is Pancreatic Surgery?


Pancreatic surgery refers to any surgical intervention on the pancreatic gland which is deeply located in the upper abdomen.

The Pancreas produce a juice (pancreatic juice) which mix with the food after eating and help digestion (exocrine pancreas); it also produce hormone that regulate gastrointestinal function and the blood sugar (endocrine pancreas).

The most important indication for pancreatic surgery is cancer which may originate from its exocrine portion (adenocarcinoma, cystic tumor of the pancreas) or its endocrine portion (pancreatic endocrine tumors).


How Does it Work?


The treatment of pancreatic tumors involves many disciplines such as medical oncology (for chemotherapy), radiation oncologist (for radiation), surgery (for tumor removal).


All patients with pancreatic tumor are discussed to our multidisciplinary tumor board (which involves all doctors above plus a pathologist, a radiologist to review imaging, cancer center coordinators) in order to define the best treatment, which sometime may involve chemotherapy and/or radiation therapy as initial treatment, followed by surgery.


When surgery is indicated the surgical treatment plan is discussed with the patient in detail with emphasis on its indication, risks, and benefits in order to optimize the patient decision making process.




How is the procedure performed?


The tumor is surgically removed. Sometime several organs need to be removed according to the position of the tumor, and the type of tumors.


We also perform surgical removal of main large vein close to the pancreas that sometime are involved by the tumor in order to achieve cancer clearance.


This procedure is performed in the operating room under general anesthesia.


The average hospital stay with no complications is about 10 to 15 days.


What are the Key Benfits?


The benefit of combined treatment (medical, radiation, surgical oncology) is to attempt curing this disease. Combination treatment may offer better outcome than any single treatment.


Depending on the type of tumor the outcome can be excellent (especially for premalignant conditions, non invasive cystic neoplasms, some endocrine tumors).




What are the most common tumors that may benefit from this procedure?


Pancreatic adenocarcinoma, Pancreatic endocrine tumor, Cystic tumors of the pancreas (benign and/or malignant).


Which patients may benefit?


In order to minimize complications and optimize the outcome, patients are strictly selected.

Patients need to have a good performance status.

Patients should not have distant spread of the disease (stage IV).


What are the Risks?


Like any kind of surgery there is a risk of complications and their severity is proportional to the invasiveness of the surgery, the age of the patient, presence of pre-existing diseases, functionality of the patient before the surgery.

First Surgical Office Locations

Oakland Office
365 Hawthorne Ave, #101
Oakland, Ca 94609
Ph# 510-465-5523
Fax# 510-832-6061

Berkeley Office
2999 Regent St #700
Berkeley, Ca 94705
Ph# 510-486-0818
Fax# 510-486-0819

Hayward Office
27001 Calaroga Ave, #4
Hayward, Ca 94544
Ph# 510-732-5731
Fax# 510-732-5739

Chinatown Office
388 9th St #218B
Oakland, Ca 94607
Ph# 510-839-0298 
Fax# 510-839-4389

Bariatrics Office (Summit South)
3100 Summit St, #2600
Oakland, Ca 94609
Ph# 510-869-8972
Fax# 510-869-6989

Comprehensive Cancer Center
2001 Dwight Way
Berkeley, CA 94704
Ph# 510-204-1634
Fax# 510-204-5749