OperationNotes

General Surgery · HPB

Distal Pancreatectomy and Splenectomy

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Distal Pancreatectomy and Splenectomy
DATE AND TIME: [Date and time]
URGENCY: Elective / Non-elective
SURGEON: [Name]
ASSISTANT: [Name / None]
ANAESTHETIST: [Name]

OPERATION: Distal Pancreatectomy and Splenectomy (Open)
ANAESTHETIC: General anaesthesia with epidural
ANTIBIOTICS: IV cephalosporin at induction
DVT PROPHYLAXIS: [Agent / mechanical / Not indicated]
PRE-OPERATIVE VACCINATIONS: Pneumococcal, Haemophilus influenzae type b, and meningococcal vaccines administered ≥2 weeks pre-operatively (elective cases).
POSITION: Supine. Nasogastric tube and urinary catheter. VTE prophylaxis.

INDICATION:
[Pancreatic body/tail neoplasm / symptomatic chronic pancreatitis limited to body and tail / chronic pancreatic fistula or pseudocyst from distal pancreas]. Preoperative imaging: CT/MRI [findings, relationship to SMV/portal confluence]. [EUS / staging CT for malignancy].

INCISION: [Describe incision]
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