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A pancreaticoduodenectomy, pancreatoduodenectomy, Whipple procedure, or Kausch-Whipple procedure, is a major surgical operation involving the removal of the head of the pancreas, the duodenum, the proximal jejunum, gallbladder, and part of the stomach.
One example of this quandary is a Whipple (pancreatoduodenectomy) procedure. In about half of these cases, the abdomen is opened and the pancreatic cancer is found to be unresectable, so the case takes approximately 2 hours. The surgery takes 6 hours in the other half of cases because the tumor is resectable.