Laparoscopic spleen preserving distal pancreatectomy.

Minimal invasive surgery is growing rapidly in vast fields of abdominal surgery. Nowadays, due to the development of laparoscopic instruments and improvement of surgical technique, laparoscopic pancreas surgery is becoming more widely adopted. Laparoscopic distal pancreatectomy has now become a standard procedure for the benign or borderline malignant tumor located in body or tail of pancreas, but laparoscopic spleen and splenic vessel preserving distal pancreatectomy is still a technically demanded operation. In this multimedia article, we will demonstrate our technique of laparoscopic spleen and splenic vessel preserving distal pancreatectomy.