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It is a highly specialized procedure performed at only a handful of centers in the United States, including The Pancreas Center of Columbia University. In a central pancreatectomy, the neck or body of the pancreas is removed while preserving the healthy head and tail of the pancreas. Laparoscopic distal pancreatectomy patients tend to experience shorter hospital stays, less blood loss, and lower leak complication rates.Ī typical distal pancreatectomy procedure requires about 2 to 4 hours. Since the spleen is so close to the tail of the pancreas, sometimes the spleen is also removed during the procedure.Ī distal pancreatectomy can sometimes be performed laparoscopically-meaning it is performed using long instruments and a camera inserted through several tiny incisions. In a distal pancreatectomy, the tail and body of the pancreas are removed and the head of the pancreas is preserved. Total pancreatectomy typically requires 5 to 7 hours. While the procedure ensures pancreatic cancer will not develop in the future, it also guarantees insulin-dependent diabetes and should be discussed thoroughly and carefully with your physician. Total pancreatectomy is sometimes used prophylactically to prevent onset of pancreatic cancer in patients found to have precancerous conditions like IPMN.

For this reason, the procedure is only used when disease has spread so extensively throughout the pancreas that healthy tissue cannot be preserved. Because the entire pancreas is removed, the patient becomes an insulin-dependent diabetic for life. Similar to a Whipple procedure, a portion of the stomach, duodenum, gallbladder, and local lymph nodes are also removed. In a total pancreatectomy, the entire pancreas is removed. This procedure can be used to treat conditions like pancreatic cancer and pancreatitis.

Pancreatectomy is the technical name for surgery to remove all or part of the pancreas.