Explore This Program

About the Program

Located within a world-class academic medical center, the Massachusetts General Hospital Division of General and Gastrointestinal Surgery’s Pancreas and Biliary Surgery program includes board-certified, Harvard Medical School-affiliated general surgeons who specialize in performing surgery of the pancreas and biliary system (i.e. gall bladder and bile ducts). This specialization requires rigorous advanced training and a highly focused clinical practice.

Multidisciplinary Pancreatic & Biliary Care

Depending on your condition and diagnosis, your treatment team includes your surgeon as well as gastrointestinal specialists in the Tucker Gosnell Center for Gastrointestinal Cancers or the Pancreas and Biliary Center. Your surgeon works side-by-side with your entire Mass General treatment team, including the Cyst Imaging Surveillance and Treatment (CIST) Center, to provide comprehensive, personalized treatment for cancer patients and other patients with complex conditions.

We regularly hold multidisciplinary conferences that are attended by specialists from across Mass General. During these conferences, we collaborate on unique and particularly challenging patient cases. Receiving input from this range of expert perspectives helps us deliver comprehensive care for everything from the most common to the rarest pancreatic and biliary diseases.

Conditions We Treat

We treat a variety of conditions that affect the pancreas, gall bladder or bile ducts, including:

  • Acute and chronic pancreatitis (inflammation of the pancreas)
  • Benign tumors and cysts
  • Cancer of the pancreas, gallbladder or bile ducts
  • Congenital abnormalities of the pancreas
  • Gallstones
  • Intraductal papillary mucinous neoplasms (IPMNs)

Our Procedures

Mass General has one of the largest pancreatic cancer practices in New England. Our program has a history of pioneering innovative, minimally invasive approaches such as:

Laparoscopic Distal Pancreatectomy

The removal of the left end of the pancreas, and may include the body and tail. This procedure is often done through small incisions and may also include removal of the spleen.

Middle Pancreatectomy

A limited removal of the mid-portion of the pancreas, preserving the tail and body. The goal of this procedure is to preserve as much of the pancreas as possible to lessen the likelihood of diabetes.

Spleen-preserving Distal Pancreatectomy

Removes the tail and/or body of the pancreas, but not the head of the pancreas or spleen.

A Mass General care team will work with you to determine which procedure is most appropriate for you based on the size, location and spread of your tumor.

We are also highly experienced in specialized procedures such as the Whipple procedure, enucleation and pancreatic debridement.

Whipple Procedure

Whipple procedure (pancreatoduodenectomy) is the removal of the head of the pancreas, a part of the small intestine (duodenum), a portion of the stomach, bile duct (tube-like structure that carries bile) and gallbladder. This procedure is done mostly for cancerous (malignant) or potentially cancerous tumors that are located in (one or more of the following areas):

  • Head of the pancreas
  • Bile duct
  • Ampulla, where the bile duct and pancreatic duct come together and empty into the small intestine
  • Duodenum, the upper part of the small intestine

The Whipple procedure is typically used to remove cancerous tumors, but can also be used to remove non-cancerous, or benign, tumors that cause symptoms such as jaundice, pain or recurrent pancreatitis.

Enucleation of Pancreatic Tumors

Enucleation, or wedging out, of pancreatic tumorsis the surgical removal of small tumors without removing the pancreas. The goal of this procedure is also to preserve as much of the pancreas as possible to lessen the likelihood of diabetes.

Pancreatic Debridement

Pancreatic debridement is the removal of the necrotic (dead) pancreatic and peripancreatic tissue. This is now often done by minimally invasive approaches, including Video- Assisted Retroperitoneal Debridement (VARD) and endoscopic debridement. This minimally invasive approach allows for a faster recovery. At Mass General, we have a unique multidisciplinary team to deal with this complex problem that involves surgeons, endoscopists, and interventional radiologists.

Our surgeons will tell you if you are a candidate for any of these specialized procedures based on the size, location and malignant (cancerous) potential of the tumor.

Surgical Results

Our high volume of pancreatectomies — and skilled team of highly rated pancreatic surgeons, anesthesiologists, nurses, and physical therapists— help us to attain expected results in treating patients with extremely complex conditions of the pancreas. In our care, we emphasize minimally invasive surgical and anesthetic techniques that enable shorter stays and fewer complications. Patients at Mass General are able to leave the hospital sooner compared to the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) norms.

View our surgical outcomes compared to national data

High Marks in Surgical Quality

The Mass General Department of Surgery and Codman Center for Clinical Effectiveness have been recognized for meritorious outcomes in surgical patient care from the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP). Hospitals achieve this distinction based on composite quality score in the outcomes in mortality and complications such as cardiac, respiratory, unplanned intubation, ventilator greater than 48 hours, renal failure, surgical site infections and urinary tract infections for all surgery cases during the period of January 1, 2016 to December 31, 2016.

This recognition reflects the outstanding performance of the hospital’s surgical teams in providing patient care at many levels. This distinction goes to only approximately 10% of the 680 participating hospitals entering data into NSQIP in 2016 and represents the first time that Mass General has reached this status.

Research & Clinical Trials

Our surgeons are accomplished researchers who are at the forefront of the latest surgical and medical innovations.

Browse online for open clinical trials

Designated National Pancreas Foundation Center

The National Pancreas Foundation (NPF) has recognized Mass General as both an NPF Pancreatic Cancer Center and an NPF Pancreatitis (non-cancerous) Center. These important recognitions are given to premier healthcare facilities that focus on the multidisciplinary treatment of pancreatic cancer and acute pancreatitis, best possible outcomes and improved quality of life for patients.

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The Dream Team: Shifting the Pancreatic Cancer Curve

At the Mass General Cancer Center, medical oncologists, radiation oncologists, surgeons and other specialists approach a patient’s case as one united team with a common goal – to provide the best possible care with the best chance for a cure. In this video, you’ll meet a group of those master clinicians and researchers that one patient describes as his “Dream Team”.