Distal pancreatectomy
Surgical resection of the pancreatic body and tail, typically performed for tumors located in the left portion of the pancreas.
Full Definition
Distal pancreatectomy involves surgical removal of the pancreatic body and tail, usually with concurrent splenectomy due to intimate vascular relationships. The procedure is indicated for benign and malignant lesions located to the left of the superior mesenteric vessels. Key technical considerations include identification and preservation of the splenic vessels when feasible (spleen-preserving technique), management of the pancreatic neck transection line, and closure techniques to prevent pancreatic fistula. Laparoscopic approaches have gained popularity due to reduced morbidity and faster recovery. Unlike pancreaticoduodenectomy, distal pancreatectomy does not require complex reconstruction, making it technically less demanding but still carrying risks of pancreatic fistula and splenic complications.
Usage
Usage note: Specify whether spleen-preserving or spleen-sacrificing technique was used.
In Context
- "Laparoscopic distal pancreatectomy with splenectomy was performed for a 3-cm pancreatic neuroendocrine tumor." — Operative report
- "Postoperative course was complicated by grade B pancreatic fistula following distal pancreatectomy." — Complication assessment