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Splenectomy and Distal Pancreaticosplenectomy: Surgical Anatomy and Technique Specific to Advanced Ovarian Cancer

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Abstract

Ovarian cancer is one of the most aggressive malignancies in women and usually presents at an advanced stage. Complete tumor debulking and platinum sensitivity are the two important determinants of survival in ovarian cancer. Upper abdominal surgery with bowel resections and peritonectomy are usually needed to achieve optimal cytoreduction. Splenic disease in the form of diaphragmatic peritoneal disease or omental caking at the splenic hilum is not infrequent. Around 1–2% of these require distal pancreaticosplenectomy (DPS) and the decision to perform DPS versus splenectomy should be made early in the intraoperative period to prevent unnecessary hilar dissection and bleeding. We hereby describe the surgical anatomy of the spleen and pancreas and point of technique of splenectomy and DPS specific to advanced ovarian cancers.

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Authors and Affiliations

  1. Department of Gynecological Oncology, Tata Memorial Hospital, Homi Bhabha National Institute, Dr Ernst Borges Marg, Parel, Mumbai, 400012, Maharashtra, India

    Pabashi Poddar & T. S. Shylasree

  2. Department of Surgical Oncology, Tata Memorial Hospital, Homi Bhabha National Institute, Dr Ernst Borges Marg, Parel, Mumbai, 400012, Maharashtra, India

    Manish Bhandare

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  1. Pabashi Poddar
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  2. T. S. Shylasree
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  3. Manish Bhandare
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Contributions

TS Shylasree: technique/protocol development; literature search; manuscript writing/editing.

Pabashi Poddar: literature search; manuscript writing/editing.

Manish Bhandare: technique development and editing.

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Correspondence to T. S. Shylasree.

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Poddar, P., Shylasree, T.S. & Bhandare, M. Splenectomy and Distal Pancreaticosplenectomy: Surgical Anatomy and Technique Specific to Advanced Ovarian Cancer. Indian J Surg Oncol 14, 252–263 (2023). https://doi.org/10.1007/s13193-021-01412-7

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  • DOI: https://doi.org/10.1007/s13193-021-01412-7

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