Distal pancreatectomy removes the body and/or tail of the pancreas.
When is it considered?
Indications may include adenocarcinoma of the pancreatic body/tail, selected cystic neoplasms and pancreatic neuroendocrine tumors.
Preoperative planning
Planning evaluates relationships with the splenic vessels, stomach and surrounding structures. Whether the spleen can be preserved depends on disease type and technical considerations.
General principle of the operation
The distal pancreas is removed; cancer surgery often includes splenectomy. Spleen-preserving approaches may be considered for selected benign or low-risk lesions.
General postoperative course
Follow-up addresses pancreatic fistula, changes in blood glucose and possible enzyme needs. If the spleen is removed, vaccination planning is also important.
Possible risks and complications
Potential issues include pancreatic fistula, bleeding, infection, new or altered diabetes and, after splenectomy, increased susceptibility to certain infections.
