Which clinical condition is primarily treated by pancreaticoduodenectomy?

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Pancreaticoduodenectomy, often referred to as the Whipple procedure, is primarily indicated for the surgical treatment of pancreatic cancer, specifically when the tumor is located in the head of the pancreas. This procedure involves the resection of the head of the pancreas, as well as a portion of the duodenum, bile duct, and sometimes part of the stomach, depending on the extent of the disease.

Pancreatic cancer is typically diagnosed at an advanced stage, but if it is localized and resectable, pancreaticoduodenectomy can offer the best chance for long-term survival and is considered the standard surgical intervention for such cases.

The other clinical conditions listed are not primarily treated with this specific surgical approach. For instance, esophageal cancer often requires esophagectomy, head and neck cancers may involve various forms of resection or radiation therapy specific to their location, and colorectal cancer is usually managed through colectomy or other colorectal-specific procedures.

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