Which incision is commonly used to access the pancreas in a Whipple procedure?

In a Whipple procedure, also known as a pancreaticoduodenectomy, the surgical access to the pancreas involves maneuvering around several anatomical structures, including the duodenum and the bile duct. The choice of incision is crucial for optimal exposure.

The bilateral subcostal incision is commonly used for this procedure as it provides adequate access to the upper abdomen and allows for visualizing and accessing the pancreas, duodenum, and other surrounding organs effectively. This type of incision facilitates manipulation and access to the surgical field, which is essential when working in the dense anatomical environment where the pancreas is located.

Additionally, the bilateral subcostal incision allows the surgeon to retract the abdominal wall adequately, improving visualization and access to the retroperitoneal space, where the pancreas resides. The other types of incisions, while they have their specific indications, do not provide the same degree of access or exposure necessary for performing a Whipple procedure.