Pancreatic cancer is very hard to control. But if it is caught early and the cancer hasn't spread beyond the pancreas, it can be treated with surgery. This offers the best outcome for pancreatic cancer. The surgery is called a "Whipple procedure," or pancreaticoduodenectomy. If possible, the surgeon removes the malignant tumor, leaving as much of the normal pancreas as possible to allow continued pancreatic function. Less often, the entire pancreas must be removed. If a patient undergoes a total pancreatectomy, a lifelong regimen of replacement enzymes and hormones, including insulin, must be administered.