Pacreaticoduodenectomy.

Pancreaticoduodenectomy, the Whipple operation, is a reasonable operation for carcinoma if used in the absence of distant metastases or regional spread to vital structures. It can be performed with an acceptable in-hospital mortality. It is primarily a palliative surgical procedure. Occasionally, a patient will survive more than five years. At times, the operation is fully justified or cannot be avoided for nonmalignant conditions.