What surgical intervention is typically performed for adenocarcinoma of the pancreatic head?

The Whipple procedure, also known as pancreaticoduodenectomy, is the standard surgical intervention for adenocarcinoma of the pancreatic head. This complex operation involves the resection of the head of the pancreas, along with a portion of the duodenum, bile duct, gallbladder, and sometimes a part of the stomach. The goal of this surgery is to remove the cancerous tumor and surrounding tissue, which can help provide the best chance for recovery for patients with localized disease.

Adenocarcinoma of the pancreatic head is particularly concerning because it can obstruct the bile duct, leading to jaundice, and can also invade surrounding structures. The Whipple procedure is designed to address these complications while being aggressive in its approach to resect the tumor.

Other surgical options listed are not typically the primary approach for adenocarcinoma of the pancreatic head. A pancreatectomy generally refers to the removal of all or part of the pancreas, which might be indicated in other contexts. A duodenectomy involves the removal of the duodenum only and is not sufficient for addressing adenocarcinoma affecting the pancreatic head. Endoscopic ultrasound is primarily a diagnostic tool and not a therapeutic intervention for cancer treatment.