Pancreaticoduodenectomy (Whipple Operation), 2011

This medical illustration series depicts a common surgical procedure called a pancreaticoduodenectomy or Whipple Operation. This surgical procedure is used to resect malignant tumors of the head, uncinate process and proximal neck of the pancreas. Pencil, Photoshop and LightWave, 2010.

Pancreatic Surgery for the Radiologist, 2011: An Illustrated Review of Classic and Newer Surgical Techniques for Pancreatic Tumor Resection


Exposure and the Kocher Manuever
Illustration showing the incision and division of GDA and Gastric arteries. Mobilization of the duodenum through the Kocher maneuver and the hepatoduodenal ligament is divided.

Division of Duodenum and Distal Ileum
Illustration showing the division of duodenum and distal ileum.

Division of Pancreatic Head
Illustration showing the division and resection of neck and head of the pancreas. The head of the pancreas is removed.

End-to-side pancreatic anastomosis
Illustration showing the End-to-side Pancreaticojejunal Anastomosis. Details show the inner layer of absorbable suture using interrupted duct-to-mucosa method and the prospective course of outer layer suture is represented by the dotted line.

Post Whipple appearance and gastrojejunostomy
Illustration showing the completed Pancreaticojejunal Anastomosis and the gastrojejunostomy in process.