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Updated: Feb 3, 2026

Laparoscopic Radical Antegrade Modular Pancreatosplenectomy via Dorsal-Caudal Artery Approach for Pancreatic Neck-Body Cancer
Published on: November 18, 2022
Laparoscopic spleen retains the body and tail of the pancreas resection
Zhijian Zheng1, Yihua Shi1, Tianfu Wen1
1Department of General Surgery, First People's Hospital of Wenling, Wenling 317500, China.
Abstract:
Pancreatic serous cystic neoplasm (SCN) is a benign tumor of the pancreas, about two-thirds situated in the tail of the pancreas. The small sized ones usually require only routine follow-ups, and is advised for surgical treatment when clinical symptoms, and mass growth are occurring rapidly, and the traditional treatment is splenectomy. Here, we have finished a laparoscopy resection of the spleen-preserving pancreatic body. A 46-year-old female presents for a follow-up after a physical examination found a tumor mass in the body and tail of the pancreas two years ago. After the tumor had become fast-growing and appeared to have other clinical symptoms, a final laparoscopy surgery was performed to retain the spleen of the pancreas. After the treatment, and a smooth recovery, the patient had been discharged. Spleen preserving laparoscopy, with distal pancreatectomy, in the treatment of benign tumors of the pancreatic body and tail, not only can reflect a minimally invasive treatment of postoperative pain, it provides a light and quick recovery advantage. The preservation of the spleen to avoid the long-term anticoagulation treatment, and the technology being relatively easily available, did not significantly increase the incidence of postoperative complications. It is worth using the clinic.
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