Distal pancreatectomy or distal splenopancreatectomy

This is the most frequently performed laparoscopic or robotic surgery; also in this case the main indication consists of a malignant tumour of the body/tail of the pancreas; the main secondary indications are the voluminous mucinous or endocrine tumours of the body/tail of the pancreas.

The approach consists of a resection stage only, in which the body and tail of the pancreas with the spleen and peripancreatic lymph nodes are removed en bloc partially or entirely.

It is a highly standardised procedure; the most common complication consists of a pancreatic fistula (loss of pancreatic liquid in the proximal part of the pancreas).

In most patients postoperative recovery is rapid.


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