Study of Usefulness of Various Incisions in Whipples Pancreaticoduodenectomy

Whipple procedure is done for various pancreatic neoplasms, periampullary tumors, chronic pancreatitis, etc. Even though mortality had come down over the years, morbidity remains high for Whipple's procedure. We, in our study, compared various incisions and their effect on postoperative pain and pulmonary complications. This is a prospective and retrospective study of twenty patients at Government General Hospital, Kurnool, Andhra Pradesh from June 2017 to July 2019. Ten patients were operated by roof-top incision, five by midline incision and another five by right subcostal incision. Seven patients with roof-top incision had moderate to severe pain. All patients with right subcoastal incision had mild pain. Among five patients, who had undergone surgery by midline incision, two developed moderate pain, and others had mild pain. Respiratory complications were seen in four patients with rooftop incision, two patients with midline incision and one patient with subcostal incision. Our results showed less postoperative pain and pulmonary complications in right subcoastal incision group.