Services

Our mission is to provide comprehensive care for patients with neoplastic and inflammatory diseases of the pancreas. The Verona Pancreas Institute surgical program provides the largest pancreatic neoplasms practice in Italy (>400 resections/year), and includes certified surgeons who specialize in performing surgery of the pancreas and biliary system. We hold multidisciplinary meetings on a weekly basis that are attended by specialists from across the Pancreas Institute. This collaboration provides continuative input that helps us deliver the best available care for our patients. Please find below a summary of our services. 

 

Pancreatic outpatient clinic

Pancreatic outpatient clinic is run on a daily basis. Our Attending Surgeons accept new patients. A dedicated pancreatic cyst clinic and a pancreatic neuroendocrine neoplasm clinic are scheduled once a week, either for first consultation or follow-up visits. A general outpatient clinic is also available for postoperative and follow-up visits. To request an appointment please click here.

 

Day case Unit 

After reviewing your case, your attending surgeon may request a series of examinations, especially when the diagnosis is unclear. Radiologic and diagnostic examinations, such as computed tomography scan, magnetic resonance imaging, endoscopic ultrasound with biopsy, and fine needle ultrasound-guided aspirations are performed by the Pancreas Institute’s multidisciplinary team in our day case unit. Click here for more information about our day case unit.

 

Surgical oncology of the pancreas 

Surgery with radical intent can be performed in patients with resectable malignancies of the pancreas, duodenum, bile duct and ampulla of Vater. Radical surgery involves a formal partial pancreatic resection (pancreaticoduodenectomy/distal pancreatectomy with splenectomy) or a total pancreatectomy. Lymphadenectomy is also performed, a vascular resection may be carried out when necessary. Parenchyma-sparing surgery (middle pancreatectomy, enucleation) may be proposed for borderline neoplasms. To learn more about pancreatic surgery, click here. 

 

Minimally invasive surgery 

Minimally invasive surgery is performed through small incisions in the abdominal wall. In laparoscopic surgery, operations are carried out using a specially designed videocamera, which displays images on TV monitors, and specially designed instruments. Minimally invasive surgery can be also performed robotically. Robots that perform surgery are be driven by surgeons who no longer stand by the patient, but direct the operation from a computer console within the theatre, only a few metres away from the patient. Our surgeons will advise whether your operation can be performed laparoscopically or robotically. For more information about our program of laparoscopic and robotic surgery of the pancreas click here.

 

Surgery of acute and chronic pancreatitis 

Surgical treatment of acute pancreatitis is indicated in patients with severe disease, infected necrosis and sepsis. In selected cases, minimally invasive techniques may be employed. Pancreatic pseudocysts, which result from an episode of acute pancreatitis, can be drained either endoscopically or surgically. Surgery for chronic pancreatitis is indicated in patients with refractory severe pain or when an underlying malignancy is suspected. Click here for more information about acute and chronic pancreatitis. 

 

Radiofrequency ablation of advanced pancreatic cancer 

Radiofrequency ablation is routinely used to treat different unresectable cancers (e.g. liver cancer). The application of radiofrequency ablation to pancreatic cancer was developed in Verona, and is currently an experimental procedure. Indications to radiofrequency ablations include locally advanced, unresectable pancreatic cancer that has not been downstaged by chemotherapy, after multidisciplinary consultation. For more information about radiofrequency ablation of advanced pancreatic cancer click here.

 

Palliative treatments 

Palliative treatments resolve symptoms caused by pancreatic cancer. These may be either endoscopic (e.g. placement of a biliary stent), percutaneous (placement of a transhepatic biliary drainage) or surgical (bypass operations). For more information about bypass surgery click here.