Review
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World J Gastrointest Surg. Jun 27, 2023; 15(6): 1020-1032
Published online Jun 27, 2023. doi: 10.4240/wjgs.v15.i6.1020
Distal pancreatectomy with or without radical approach, vascular resections and splenectomy: Easier does not always mean easy
Lapo Bencini, Alessio Minuzzo
Lapo Bencini, Alessio Minuzzo, Oncology and Robotic Surgery, Careggi Main Regional and University Hospital, Florence 50131, Italy
Author contributions: Bencini L and Minuzzo A contributed to literature search and writing.
Conflict-of-interest statement: The authors have no conflict of interest to declare.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Lapo Bencini, MD, PhD, Consultant Physician-Scientist, Oncology and Robotic Surgery, Careggi Main Regional and University Hospital, 3 Largo Brambilla, Florence 50131, Italy. bencinil@aou-careggi.toscana.it
Received: January 5, 2023
Peer-review started: January 5, 2023
First decision: January 20, 2023
Revised: January 24, 2023
Accepted: April 17, 2023
Article in press: April 17, 2023
Published online: June 27, 2023
Core Tip

Core Tip: Laparoscopic or robotic distal pancreatectomy is a good option to cure diseases arising from the pancreatic body/tail. The minimally-invasive approach allows to achieve concomitant splenectomy and arterial resections. However, current Literature is still lacking, and the surgical decision is based mainly on the presence of advanced laparoscopic and da Vinci equipment, controlled by skillful experts. A rigorous attention to the general and oncologic principles should be the maintained.