Why is splenectomy performed with distal pancreatectomy?

Why is splenectomy performed with distal pancreatectomy?

Why is a spleen removed in distal pancreatectomy? A spleen may be removed during the surgery because the artery supplying the spleen lies along the body and tail of the pancreas. Because of this, the blood vessel can get blocked, and infection or tumor can spread to the spleen.

How long can you live after a distal pancreatectomy?

The 3- and 5-year survival rates of patients after pancreatoduodenectomy were 27.3 and 17.8 % compared to 45.5 and 22 % in patients treated with distal pancreatectomy. The median survival in patients after PD and DP was 20.4 months (95 % CI: 17.4–23.8) and 24.4 months (95 % CI: 2.9–45.8), respectively (Table 2 and Fig.

What can I expect after my distal pancreatectomy and splenectomy?

You will not be able to eat regular food for at least two to three days after surgery. Your care team will slowly start you on clear fluids and then to other fluids and foods as you recover. You will be able to slowly resume activity a day after surgery and can take a shower within two days after surgery.

What is removed in a distal pancreatectomy?

A distal pancreatectomy (PAN-kree-uh-TEK-toh-mee) is a surgery to remove a tumor from the body or tail of your pancreas. Your pancreas is located in the back of your abdomen (belly) behind your stomach and above your small intestine (see Figure 1).

Why do a distal pancreatectomy?

A laparoscopic distal pancreatectomy is a minimally invasive surgical procedure that is performed to remove benign or malignant (cancerous) tumors in the body or the tail of the pancreas. The surgeon most often will need to remove the spleen because it is located near the pancreas and shares some of the blood vessels.

How is a distal pancreatectomy done?

A distal pancreatectomy is usually performed when a patient has a tumour in the body or tail (‘thin end’) of the pancreas. This procedure involves having the tail (thin end) and body of your pancreas removed, leaving the head of the pancreas intact.

How successful is a distal pancreatectomy?

Distal pancreatectomy for chronic pancreatitis from any etiology can be performed with low mortality and a good outcome in terms of pain relief and return to work in approximately 60% of patients. Little effect is seen on exocrine function of the pancreas, but there is a diabetic risk of 46% over 2 years.

What happens when you have your pancreas and spleen removed?

In this operation, the surgeon removes only the tail of the pancreas or the tail and a portion of the body of the pancreas. The spleen is usually removed as well. The spleen helps the body fight infections, so if it’s removed you’ll be at increased risk of infection with certain bacteria.

How safe is a distal pancreatectomy?

In conclusion, this series has demonstrated that distal pancreatectomy can be safely performed for a variety of pancreatic diseases, including chronic pancreatitis and benign and malignant pancreatic neoplasms. The procedure can be completed with a minimal mortality rate and an acceptable perioperative morbidity rate.

How long does distal pancreatectomy and splenectomy take?

Your surgeon removes the cancerous part of your pancreas, and if necessary, the spleen. The surgery takes between three to four hours.

What is distal pancreatectomy and splenectomy?

Distal Pancreatectomy and Splenectomy A distal pancreatectomy is the removal of the end of the pancreas while leaving the pancreatic head attached. It is performed to treat pancreatic cancer localized in the end of the pancreas, but may also be used for chronic pancreatitis, pancreatic pseudocysts, and injury due to trauma.

What is the difference between SPDP and DPS in pancreatic surgery?

There were no differences between the SPDP and DPS groups with respect to operative time, operative blood loss, requirement for blood transfusion, pancreatic fistulas, thromboses, post-operative bleeding, wound infections and re-operation rates. Conclusion

How long does it take to have your pancreas removed?

During your surgery, your surgeon will explore your pancreas and spleen and decide how much to remove. The part of your pancreas that remains will be closed with sutures (stitches) or staples (see Figure 2). Your surgery will take 2 to 4 hours.

What happens if your pancreas does not work after surgery?

If your pancreas doesn’t make enough digestive enzymes after your surgery, you may have diarrhea. If this happens, you may need to take enzyme pills when you eat. If your pancreas doesn’t make enough insulin after your surgery, you may have high blood sugar. This is rare.