A complex operation only works if it can be executed reliably inside the system you have.

In this Part Two episode, Dr. Randy Lehman continues with Dr. Cate Straub, focusing on how pancreatic surgery is actually performed without consistent teams, subspecialty backup, or standardized support structures.

She walks through operative sequencing, vascular decision making, and how technique changes when you cannot rely on experienced assistance or ideal exposure.

The discussion ties technical execution back to responsibility in rural practice, where outcomes depend on adapting the operation to the environment, not the other way around.

0:00 Intro

00:07 How I Do It: Whipple

40:08 Financial Corner

42:43 Resources for the Busy Rural Surgeon

Resources Mentioned:

WWAMI program:

https://www.uwmedicine.org/school-of-medicine/md-program/wwami

SAGES:

https://www.sages.org/

American College of Surgeons:

https://www.facs.org

🌐 Connect with The Rural American Surgeon:

https://www.theruralamericansurgeon.com/

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https://www.facebook.com/profile.php?id=61564305936854