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Distal Pancreatectomy

Surgical procedure to remove the body and tail of the pancreas.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Genel Cerrahi department. Book Appointment →

What is Distal Pancreatectomy?

Distal pancreatectomy is the removal of the body and tail portion of the pancreas (usually with splenectomy). Depending on the localization of the lesion, the neck, body, and tail portions of the pancreas are resected in varying proportions.

The procedure can be performed via open surgery, laparoscopic, or robotic approach. Today, laparoscopic/robotic approach is preferred for benign and low-grade lesions, while open approach may be used for large and malignant lesions. Spleen-preserving technique (Kimura or Warshaw) can be applied for benign lesions.

Indications include pancreatic tail adenocarcinoma, neuroendocrine tumors, mucinous cystic neoplasms, IPMN, solid pseudopapillary tumor, trauma, and chronic pancreatitis. The most common complication is postoperative pancreatic fistula (POPF, at a rate of 20-30%).

Symptoms

Pancreatic body/tail mass
Pancreatic neuroendocrine tumor
Mucinous cystic neoplasm (MCN)
Intraductal papillary mucinous neoplasm (IPMN)
Solid pseudopapillary tumor
Chronic pancreatitis with distal localization
Distal pancreatic trauma injury

Risk Factors

Soft pancreatic parenchyma (POPF risk)
Thin pancreatic duct (<3 mm)
Obesity
Splenic vessel invasion
Large tumor size
Portal vein proximity
Coagulopathy

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Detection of pancreatic tail mass
  • Abdominal pain and weight loss
  • New onset diabetes mellitus
  • Pancreatic cyst or nodule on imaging
  • Elevated tumor marker (CA 19-9)
  • Pancreatic tumor board evaluation

Treatment Methods

01
Preoperative CT/MRI for lesion localization
02
Laparoscopic or open distal pancreatectomy
03
With splenectomy or spleen-preserving technique
04
Closing the pancreatic transection line with stapler or hand suture
05
Pancreatic duct ligation or sealant
06
Drainage and postoperative amylase monitoring
07
Percutaneous drainage and supportive treatment if POPF develops

Which Department to Visit?

You can visit our Genel Cerrahi department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.