Pancreatic Cancer

Advanced, multidisciplinary surgical care — including the Whipple procedure.

Pancreatic cancer is a serious condition that requires expert, coordinated care. Prof. Mittal is a founding member of the Australian Pancreatic Centre at Royal North Shore Hospital, dedicated to the care of pancreatic cancer patients.

Symptoms

Symptoms can be subtle and may include jaundice (yellowing of the skin and eyes), painless yellowing, upper-abdominal or back pain, unexplained weight loss, loss of appetite, new-onset diabetes, or pale stools and dark urine. Because symptoms often appear late, prompt investigation is important.

Diagnosis

Diagnosis typically involves blood tests, CT and MRI scans, and sometimes endoscopic tests such as ERCP or EUS. A multidisciplinary team then reviews your case to plan the best treatment.

Treatment

Treatment is tailored to each patient and may combine surgery, chemotherapy and other therapies. The main surgical procedures include:

  • The Whipple procedure (pancreaticoduodenectomy) — for tumours in the head of the pancreas.
  • Distal pancreatectomy — for tumours in the body or tail of the pancreas.

Prof. Mittal performs these complex operations using advanced techniques, with a focus on safety and recovery. As Surgical Lead for the NSQIP quality-improvement program, he is committed to reducing surgical complications.

Multidisciplinary care. Your treatment is discussed by a team of specialists to ensure the most appropriate plan for you.

Recovery

Recovery after pancreatic surgery is a staged process. You’ll receive a detailed plan covering hospital stay, pain management, nutrition and gradual return to activity, with structured follow-up.

Frequently Asked Questions

Questions, answered

Early pancreatic cancer is often silent. When symptoms appear they may include: painless jaundice (yellow skin/eyes), unexplained weight loss, new-onset diabetes, persistent upper abdominal or back pain, and pale floating stools. Any of these warrants prompt investigation by your GP.

The Whipple procedure is offered when the tumour is confined to the head of the pancreas and has not spread to distant organs or involved major blood vessels. Prof. Mittal will review your scans and discuss whether surgery, chemotherapy, or a combination is the best approach for your specific case.