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About Us

What is Pancreatic Cancer Surgery?

Pancreatic Cancer Surgery is a complex, life-saving procedure to remove tumors from the pancreas, a important organ liable for digestion and blood sugar regulation. It is the most effective treatment for early-stage pancreatic cancer and aims to eliminate cancerous tissue while preserving as much healthy organ function as possible. Pancreatic cancer is aggressive but treatable with timely surgery. At Liver Surgeons, Delhi’s premier pancreatic cancer center, we specialize in:

  • Curative Surgery: Complete tumor removal for early-stage cancers.
  • Palliative Care: Relieving pain and improving quality of life in advanced cases.
  • Borderline Resectable Tumors: Neoadjuvant therapy to shrink tumors for safer resection.
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Cancer Surgery
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Pancreatic Cancer Surgery In Delhi

Advanced surgical oncology with 40% 3-year survival for resected early-stage cancers

Surgical Procedures

1. Whipple Procedure (Pancreaticoduodenectomy)

  • Purpose: Removes tumors in the pancreatic head, duodenum, bile duct, and gallbladder
  • Technique: Open, laparoscopic, or robotic surgery (quicker recovery)
  • Survival Outcomes: 25–30% 5-year survival for early-stage cancers

2. Distal Pancreatectomy

  • For: Tumors in the pancreatic tail
  • Procedure: Removes the tail ± spleen, preserving pancreatic function
  • Recovery: 4–6 weeks with enzyme supplements if needed

3. Total Pancreatectomy

  • Rare: Reserved for diffuse tumors
  • Requires: Lifelong insulin/enzyme therapy

25-30%

5-year survival for Whipple

4-6

Weeks recovery

Advanced Diagnostics & Staging

Preoperative Staging

  • CT/MRI: Assess tumor size, vascular involvement, and metastasis
  • PET-CT: Detects distant spread
  • Laparoscopy: Rules out peritoneal carcinomatosis

Borderline Resectable Pancreatic Cancer

  • Neoadjuvant Therapy: Chemo (FOLFIRINOX) or radiation to shrink tumors
  • Re-Staging: Repeat imaging to confirm surgical eligibility

Why Choose Liver Surgeon in Delhi?

Dr. Ashish George – Pancreatic Cancer Surgery Specialist

  • 15+ Years' Expertise: Performed 300+ Whipple procedures and distal pancreatectomies
  • Global Training: Fellowships at Johns Hopkins and Memorial Sloan Kettering

Pioneered Techniques

  • Robotic Whipple Surgery: Minimizes blood loss and ICU stays
  • Enhanced Recovery Protocols: Reduce hospital stays by 30%

Cutting-Edge Technology

  • Intraoperative Ultrasound: Maps tumor margins and blood vessels
  • ICG Fluorescence: Identifies bile leaks for immediate repair

Post-Whipple Complications Management

  • Pancreatic Fistula Prevention: Duct-to-mucosa anastomosis techniques
  • Infection Control: Prophylactic antibiotics and meticulous sterile protocols

40%

3-Year Survival Rate

<10%

Complication Rate

300+

Whipple Procedures

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Pancreatic Surgery FAQs

6–8 weeks for open surgery; 4–5 weeks for robotic/laparoscopic.

Yes! Neoadjuvant chemotherapy shrinks tumors in 40–50% of cases, enabling curative surgery.

Bleeding, infections, or pancreatic leaks. Dr. Ashish George’s Delhi team uses advanced techniques to reduce risks to <10%.

Only if the entire pancreas is removed (rare). Distal pancreatectomy rarely causes diabetes.

Borderline resectable pancreatic cancer involves tumors touching major blood vessels (e.g., SMA, celiac axis) but not fully encasing them. Dr. Ashish George’s Delhi team uses preoperative staging (CT/MRI) to identify these cases. Neoadjuvant chemo (FOLFIRINOX) or radiation often shrinks tumors, making curative Whipple procedures possible.

Preoperative staging combines:
CT/MRI: Assess tumor size, vascular involvement, and metastasis.
PET-CT: Detects distant spread.
Laparoscopy: Rules out peritoneal carcinomatosis.
At our Delhi center, Dr. Ashish George uses 3D reconstructions to plan surgery with millimeter precision.

Post-surgery, patients may need:
• Pancreatic Enzyme Supplements: To aid digestion (e.g., Creon).
• Low-Fat, High-Protein Diet: Eases digestion and prevents weight loss.
• Blood Sugar Monitoring: For those at risk of diabetes.
Our nutritionists design customized meal plans for smoother recovery.

Survival outcomes after pancreatic surgery depend on tumor stage and margins:
• Early-Stage (Stage I/II): 25–30% 5-year survival post-Whipple procedure.
• Borderline Resectable: 15–20% 5-year survival with neoadjuvant therapy.
Under Dr. Ashish George’s care, Delhi patients achieve 40% higher survival rates than national averages due to advanced techniques and post-op monitoring.