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Overview
In distal pancreatectomy, the tail and/or a portion of the pancreas are removed. The pancreas head is not affected in pancreatectomy. This surgery is uncommon for pancreatic cancer because most of the tumors arising beyond the head region of the pancreas are unresectable. Distal pancreatectomies are performed less often than resections of the pancreatic head.
It is performed in the following cases:
Types
Body location
Pancreas, Spleen
How is the surgery performed?
The surgery is performed under general anesthesia and takes approximately 2-4 hours.
Staging laparotomy is essential before resection. During a staging laparotomy, the surgeon inserts a scope (a camera with a light source) through a small incision (a surgical cut) in the abdomen.
A staging laparotomy helps to examine the structures in the abdominal cavity and allows the doctor to stage the cancer of the pancreas. The surgery may be performed through an open procedure or minimally invasive procedures such as laparoscopically or by robotic-assisted surgery.
There are also various surgical techniques depending upon the disease, extent of surgery, and surgeon’s expertise.
A spleen-preserving distal pancreatectomy may be performed if there is no indication for spleen removal.
Preparations
Procedure type
Surgery, Minimally invasive surgery / Robotic
Follow-up
A regular follow-up per the surgeon’s recommendation is necessary for the following reasons:
Risks
Along with general postoperative complications the major morbidity-associated complications with the procedure are as follows:
Recovery
During the postoperative phase, patients are given pain medications and antibiotics. The patients are discharged from hospitals after 5-7 days post-surgery. Despite the complexity of the procedure, most people recover successfully. Patients must start moving as soon as feasible and keep doing exercise and maintain a proper diet to recover early.
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