Comparison of Spleen-Preservation Versus Splenectomy in Minimally Invasive Distal Pancreatectomy.
Hester C TimmerhuisRejoice F NgongoniChristopher W JensenMichael BaiocchiJonathan C DeLongMonica M DuaJeffrey A NortonGeorge A PoultsidesPatrick J WorthBrendan C VisserPublished in: Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract (2023)
Spleen-preservation is not associated with increased risk of blood loss, longer hospital stay, conversion, nor lengthy OR times. Late splenectomy is very rarely required. Given the immune consequences of splenectomy, spleen-preservation should be strongly considered in MIDP.