4-hour surgery to remove 6 abdominal organs and reconnect them for a 62-year-old patient

(Dan Tri) - To remove the pancreatic mass from a 62-year-old female patient, doctors cut out 6 parts of the patient's abdomen and then reconnected them.

On November 2, Ninh Binh General Hospital announced that the hospital's doctors had successfully performed an open pancreaticoduodenal resection on a 62-year-old female patient. This is one of the most difficult surgeries in digestive surgery, requiring simultaneous treatment of many organs in the abdomen and reconstruction of the patient's entire digestive tract.

Surgeons reattached many organs in the patient's abdomen (Photo: Provided by the doctor).

Previously, patient D.TT (born in 1963, residing in Quynh Luu commune, Ninh Binh province) was admitted to the hospital with increasing jaundice, dark urine, pale stools, poor appetite, fatigue and weight loss. The patient had a history of diabetes, high blood pressure and had been treated for liver flukes, making his general health condition not really favorable for a major surgery.

After being examined and having all the paraclinical tests, the patient was given an abdominal MRI, a gastroduodenal endoscopy and biopsy and was consulted by the hospital's Digestive Cancer Council and diagnosed with biliary obstruction due to stage 2 ampullary carcinoma. With this lesion, the patient was indicated for radical treatment, which was a pancreaticoduodenal resection (Whipple).

The patient was then resuscitated and his physical condition was improved before surgery. During the surgery, the team simultaneously removed 6 structures in the abdominal cavity including: a part of the stomach (pyloric region), the head of the pancreas, the common bile duct, the gallbladder, the entire duodenum, the first segment of the jejunum, and regional lymph node dissection according to cancer principles.

Next, the team proceeded to re-establish digestive circulation using three sophisticated anastomoses on the same intestinal loop: Pancreas-intestine anastomosis so that pancreatic juice continues to flow down to digest food; bile-intestine anastomosis so that bile flows down to the intestine, preventing jaundice from recurring; and stomach-intestine anastomosis so that the patient can eat orally again.

The entire surgery lasted nearly 4 hours, without any unusual bleeding or complications during the surgery. After the surgery, the patient received epidural pain relief and was fully conscious. The post-operative progress was very favorable, and the patient's health is gradually recovering.

Dr. Nguyen Thien Thuong, Head of the General Planning Department, Ninh Binh Provincial General Hospital (head of the surgical team) said that the most difficult part of pancreaticoduodenal surgery is not how much is removed, but how to reconnect it so that the patient can eat and live almost normally, while ensuring the requirements of cancer treatment.

"The regular implementation of this technique by provincial hospitals helps Ninh Binh people avoid having to go to central hospitals, greatly reducing costs and time," said Dr. Thuong.

The representative of Ninh Binh General Hospital emphasized that the success of this surgery shows that the hospital has mastered specialized surgical operations in the liver - gallbladder - pancreas area, gradually affirming its role as the province's final-level hospital, in line with the orientation that Ninh Binh people can receive treatment for serious illnesses right in their locality.

Source: https://dantri.com.vn/suc-khoe/4-gio-phau-thuat-cat-6-bo-phan-trong-bung-roi-noi-lai-cho-benh-nhan-62-tuoi-20251102115806086.htm