Open Distal Pancreaticosplenectomy
This Open Distal Pancreaticosplenectomy course will teach you:
- To resect the pancreatic body and tail, en bloc with the spleen, while preserving a sufficient amount of pancreatic parenchyma to maintain endocrine and exocrine function.
Special attention is paid to the following hazards you may encounter during the Open Distal Pancreaticosplenectomy:
- Lymph node harvesting
- Ligature fistula of pancreatic duct
With the following tips you might perform the Open Distal Pancreaticosplenectomy even better:
- Access to omental bursa by retracting omentum
- Splenic flexure mobilization
- Dissection direction clockwise versus counterclockwise
- Perirenal invasion: opening Gerota’s fascia
- Staple line reinforcement
- Omental interposition
After studying the Open Distal Pancreaticosplenectomy course you are familiar with the most common complications:
- Pancreatic fluid leakage
- Endocrine or exocrine insufficiency
- Postsplenectomy sepsis
You might also be interested in:
Open Distal Pancreatectomy
Open Pylorus Preserving Pancreaticoduodenectomy (PPPD)
Step by step
Abdominal cavity approach
For adequate exposure the pancreatic Chevron or midline incision can be used. These are described in their specific courses.
Operating table adjustment
The resection is preferably performed in a flex and reflex position, or with a cushion underneath the patient’s back, to increase the exposure of the pancreas and spleen.
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