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Abstract
We explore Whipple surgery, a complex surgical intervention used to treat pancreatic tumors and periampullary conditions. We discuss its history, surgical techniques, improvements and evolution over the years. We address the complications associated with Whipple surgery, including pancreatic fistulas, hemorrhages, anastomotic strictures and postoperative infections, highlighting the importance of prevention and adequate management of these complications. We explore adjuvant treatment, such as chemotherapy, which aims to reduce the risk of pancreatic cancer recurrence after surgery. We discuss palliative care as a fundamental part of treatment for patients with advanced or metastatic stages of pancreatic cancer, emphasizing the importance of relieving symptoms, improving quality of life, and providing emotional and social support. We address the need for a personalized approach to treating pancreatic cancer, taking into account the stage of the disease and the individual needs of the patient. We conclude that treating pancreatic cancer is a multifaceted challenge, and the combination of surgery, adjuvant treatment and palliative care plays a crucial role in improving quality of life and increasing the chances of therapeutic success for patients.
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Copyright (c) 2023 Gabriela Milhomem Ferreira, Gabriel Gonçalves Rezende Oliveira, Fernanda Furtado Fernandes, Fernanda Mendonça Ferreira, Pedro Paulo Martins Ferreira Neto, Hiago Vinícius de França, Renan Rodrigues de Oliveira Cunha, Gabriel de Oliveira Pereira, Guilherme Fontes de Sousa Skaf Abdala, Isadora Garcia de Paula, Eduarda Arantes Gonçalves, Taís Garcia Rocha, Isabella Tavares Alves, Valesca Naciff Arias