Surgical removal of pancreatic body and tail for cancer or chronic pancreatitis. Spleen preservation attempted when possible. Excellent pain relief in chronic pancreatitis with low morbidity.
Mobilization of pancreatic tail. Division of splenic vessels (spleen-preserving technique preferred). Transection of pancreas with hemostasis. Specimen extraction.
Hospital stay 5-7 days. Pain relief excellent in CP. Requires lifelong pancreatic enzyme supplementation and diabetes management. Full recovery 8-12 weeks.