The Expert: Complex Whipple Surgery
Prof. Markus Büchler specializes in vascular reconstruction for "inoperable" tumors.
Europe’s Leading Pancreatic Center.
Over 3,000 Resections Performed.
0.8% Mortality Rate in Venous Reconstruction Cases

Why We Can Operate When Others Cannot.
The ‘Triangle Operation’ is a radical clearance of the mesopancreas. Unlike standard Whipple procedures, we remove not just the tumor, but the surrounding nerve plexus and soft tissue where microscopic cancer cells hide. This technique significantly reduces local recurrence rates and allows us to resect tumors involving major blood vessels
01
Vascular Reconstruction
Many clinics declare tumors 'inoperable' if they touch major blood vessels. Prof. Büchler specializes in removing these tumors and reconstructing the vessels, offering a chance at R0 resection (complete removal).
02
High-Volume Safety
Surgical volume is the #1 predictor of survival. With over 3,000 procedures, our center exceeds the 'high volume' definition by 100x.
03
Low Complication Rate
Advanced techniques reduce the risk of pancreatic fistula and delayed gastric emptying, getting you home and back to your life sooner.
Mortality Rate
0.8%
in complex cases requiring venous reconstruction. Significantly lower than international benchmarks
Location
Pancreatic Cancer Centre at Botton-Champalimaud Foundation

R0 Resection Goal

Our primary objective is the complete microscopic removal of the tumor.
Security
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