General Surgery · HPB
Distal Pancreatectomy and Splenectomy
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]