Abstract

• More than 30 years have passed since Dr. Whipple discribed a 2 stage resection for cancer of pancreas in 1935. Through these years, there has been varying enthusiasm for pancreaticoduodenal resection in the management of pancreatic cancer, but high incidence of post-operative complication and mortality were still remained. This 61 years old male patient was admitted to our hospital on 10th December. Physical examination revealed marked yellowish discoloration on entire body, systemic edema, and non-tender palpeble right upper quadrant mass. Liver function tests revealed remarkablly increase level of glucose, total bilirubin, S.G.O.T. and S.G.P.T. E.R.C.P. was suggest pancreatic pseudocyst. Pancreatic biospy from shows infiltration by atypical gland with filbrosis with final diagnosis of pancreatic adenocarcinoma. This paper is concerned with our experience of drainage procedure of the extensively involved pancreatic cancer and reviewed with current oncepts in the manageme nt in literature.