This is a complex operation performed only by experienced, highly specialised teams such as yours. Every phase is planned and closely monitored by surgeons, anaesthetists, nursing and nutrition staff. You will not be alone at any point.
Before surgery
Intensive prehabilitationMajor surgery: daily walking, breathing exercises, complete cessation of tobacco and alcohol, and nutritional optimisation.
NutritionArriving with weight loss is common. High-protein supplements are prescribed in the preceding weeks if needed.
JaundiceIf your skin is yellow, a biliary stent may need to be placed endoscopically beforehand.
FastingNo solids for 6 hours before; clear fluids up to 2 hours before.
MedicationA complete review of your medication, with written instructions.
The day of surgery
ScopeThe head of the pancreas, the duodenum, the bile duct and the gallbladder are removed, and the digestive tract is reconstructed with three connections.
TechniqueOpen or robotic depending on the case. Your surgeon will explain the planned approach.
DurationUsually between 5 and 8 hours.
Afterwards24–48 h in intermediate or intensive care for close monitoring. This is planned, not a complication.
After surgery
RecoverySlower than after other operations. Tubes, drains and lines are removed progressively, day by day.
DietSmall, frequent amounts (5–6 intakes/day). Feeling full quickly is common in the first months.
EnzymesEnzyme capsules with meals are often needed if stools become greasy or weight is lost.
MoodFull recovery may take 2–3 months. Asking for support (nutrition, psycho-oncology) is part of the treatment.
⚠ When to seek help immediately
Go to the emergency department or contact your team if you have:
Fever of 38 °C (100.4 °F) or higher
Pain that does not improve with your prescribed medication
Persistent vomiting or inability to keep fluids down
A wound that is red, warm, oozing or opening up
Difficulty breathing or chest pain
No gas or bowel movements together with abdominal bloating
