Undergoing pancreas surgery can be a significant and daunting experience. To help you feel more prepared and confident, here are 10 questions you should ask your surgeon before the procedure to understand your care more fully. You may have other questions and it’s often a good idea to write these down:

1. What type of pancreas surgery will I be having, and why is it necessary?

Understanding the specific type of surgery, whether it’s a Whipple procedure, distal pancreatectomy, or total pancreatectomy, and the reasons behind it can help you grasp the overall treatment plan. Each type of surgery has different implications and recovery processes. For example, the Whipple procedure is often used for tumours in the head of the pancreas and involves removing part of the pancreas, small intestine, and other nearby tissues.

2. What are the potential risks and complications associated with this surgery?

Every surgery carries risks. It’s important to discuss potential complications such as infection, bleeding, or issues related to anaesthesia, as well as specific risks associated with pancreas surgery. Depending on the type of pancreas surgery (e.g. Whipple procedure), the risks can include death or major complications. If the surgery is being performed for pancreas cancer, it is also important to have a frank conversation about the long term prognosis with and without surgery.

3. What are the benefits of this surgery, and how will it impact my quality of life?

Ask about the expected outcomes and how the surgery will improve your condition or alleviate symptoms. Understanding the benefits can help you weigh them against the risks. For example, removing a tumour can relieve pain and prevent the spread of cancer, significantly improving your quality and length of life.

4. What should I expect during the recovery process?

Recovery from pancreas surgery can vary. Inquire about the typical recovery timeline, any necessary lifestyle changes, and when you can expect to return to normal activities. Recovery may involve a hospital stay of several days to weeks, followed by a period of rest at home. You might also need to follow a special diet and gradually reintroduce normal foods.

5. Will I need additional treatments after surgery?

Depending on your condition, you may require further treatments such as chemotherapy or radiation therapy. Discuss the likelihood of needing additional treatments and what they might entail. For example, if the surgery is for pancreatic cancer, adjuvant therapy (treatment after surgery with chemotherapy) might be recommended to eliminate any remaining cancer cells.

6. How experienced are you with this type of surgery?

It’s crucial to know your surgeon’s experience and success rates with pancreas surgeries. Ask about their qualifications, the number of similar surgeries they have performed, and their outcomes. Surgeons with more experience in pancreas surgery tend to have better outcomes and fewer complications. Surgeons who work with an experienced team also have better outcomes.

7. What type of anaesthesia will be used, and what are the risks?

Different types of anaesthesia may be used depending on the surgery. Ask your surgeon whether you will receive general or regional anaesthesia and discuss the associated risks and what to expect during and after its administration. General anaesthesia is commonly used for major surgeries like those involving the pancreas.

8. What can I do to prepare for the surgery?

Preparation can significantly impact your recovery. Ask about any pre-surgery instructions, such as dietary restrictions, medications to avoid, or exercises to strengthen your body. For example, you might need to stop taking certain medications that can increase bleeding risk and follow a specific diet to ensure your body is in the best possible condition for surgery.

9. What support will I need after the surgery?

Post-surgery care is crucial for a smooth recovery. Discuss the type of support you will need, including help with daily activities, wound care, and follow-up appointments. You may need assistance with tasks like cooking, cleaning, and transportation to medical appointments during the initial recovery period.

10. Are there any alternatives to surgery?

In some cases, non-surgical treatments may be an option. Discuss with your surgeon whether there are any viable alternatives to surgery and the potential benefits and drawbacks of each. For example, certain pancreatic conditions might be managed with medications or less invasive procedures depending on the severity and nature of the issue.

By asking these questions, you can gain a better understanding of your pancreas surgery and feel more confident about the procedure and your recovery. Always remember that your surgeon is there to help you, so don’t hesitate to voice any concerns or ask for clarification on any aspect of your care.