This surgery is reserved for benign or scarcely malignant pathologies of the body and tail of the pancreas. Examples include: endocrine tumours, non-malignant IPMNs, non-malignant mucinous tumours, etc.
Aim of this approach is to preserve the spleen and its immunological functions. The surgery is technically complex but well tolerated by patients, who in most cases have a rapid postoperative recovery. Different techniques are used to preserve the spleen and the debate is still open on which approach provides the best short and long term results.
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