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.