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Laparoscopic Spleen-preserving Distal Pancreatectomy

Minimally invasive resection of the pancreatic body and tail with preservation of the spleen.

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 Laparoscopic Spleen-preserving Distal Pancreatectomy?

Laparoscopic spleen-preserving distal pancreatectomy is a minimally invasive procedure used for benign cysts, neuroendocrine tumours and low-grade malignant lesions located in the pancreatic body and tail. The pancreatic resection is performed laparoscopically while the spleen is preserved.

Two main techniques are used: the Warshaw technique (sacrificing the splenic vessels and relying on collateral circulation) and the Kimura technique (preserving the splenic vessels). The Kimura technique provides better long-term spleen perfusion.

Compared with open surgery it offers shorter hospital stay, less postoperative pain and faster return to normal activity; however, postoperative pancreatic fistula remains the main complication.

Symptoms

Postoperative abdominal pain
Pancreatic fistula (most common complication)
Intra-abdominal collection or abscess
Splenic infarction (Warshaw technique)
Postoperative ileus
Bleeding
Endocrine and exocrine insufficiency (rare)

Risk Factors

Pancreatic neuroendocrine tumour
Pancreatic cyst (mucinous, serous)
Pseudocyst with chronic pancreatitis
Solid pseudopapillary neoplasm
IPMN (low-grade)
Pancreatic body and tail trauma
Genetic syndromes (MEN-1, von Hippel-Lindau)

When to See a Doctor?

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

  • Severe abdominal pain after surgery
  • Persistent or worsening pancreatic fistula
  • Fever and signs of intra-abdominal infection
  • Findings consistent with splenic infarction

Treatment Methods

01
Multiport or robotic laparoscopic technique
02
Kimura technique with splenic vessel preservation
03
Warshaw technique with sacrifice of splenic vessels
04
Endoscopic stapler closure of pancreatic stump
05
Octreotide prophylaxis for pancreatic fistula
06
Routine peripancreatic drain
07
Postoperative pancreatic enzyme replacement when indicated

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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You can make an appointment with our specialists or contact us for your concerns.

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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.