{"schema_version":"bookimed.page-context.v1","id":"method-oncosurgery-op727","url":"https://hub.bookimed.com/oncologic-surgery/method-oncosurgery-op727/","json_url":"https://hub.bookimed.com/oncologic-surgery/method-oncosurgery-op727/#page-context","content_revision":"prepared-registry-v2","date_modified":"2026-10-21","language":"en","kind":"guide","title":"Pancreatic cancer surgery","summary":"A distal pancreatectomy, also called a left pancreatectomy, removes the body and tail of the pancreas. The cut end of the remaining pancreas is closed, for example with stitches or surgical staples. Neither closure technique has shown a clear advantage in preventing pancreatic leakage. This operation can be performed through an open incision or with minimally invasive techniques, including laparoscopic and robot-assisted surgery. These are different ways of performing the operation, not different guarantees of cancer control.","research_credit":{"name":"Yevhenii Kozlov","role":"Co-Founder of Bookimed","url":"https://us-uk.bookimed.com/ceo/kozlov/","contribution":"Research project led","assistance":"For me, helping patients find the best medical care is a personal responsibility. This guide is built by a process we designed to do the hard part — reading the research, comparing surgeons and clinics, checking real offers — and to make the result simple and clear for every patient. AI tools do much of the work; every fact links to its source."},"editorial_scope":"Source-linked research and public provider information. Individual treatment requires clinical assessment.","research_method":"How this guide is researched and compared Research project led by Yevhenii Kozlov .","sections":[{"id":"narrative-mechanism_and_choices","title":"How surgery works and how approaches differ","text":"How surgery works and how approaches differ A distal pancreatectomy, also called a left pancreatectomy, removes the body and tail of the pancreas. The cut end of the remaining pancreas is closed, for example with stitches or surgical staples. Neither closure technique has shown a clear advantage in preventing pancreatic leakage. This operation can be performed through an open incision or with minimally invasive techniques, including laparoscopic and robot-assisted surgery. These are different ways of performing the operation, not different guarantees of cancer control. Sources (3) Stapler versus scalpel resection followed by handsewn closure of the pancreatic remnant for distal pancreatectomy. Assessing the Potential Difficulty of Left Pancreatectomy: International Modified Delphi Consensus. Intraoperative and Postoperative Outcomes of Minimally Invasive Versus Open Distal Pancreatectomy for Pancreatic Ductal Adenocarcinoma: A Systematic Review and Meta-Analysis.","links":[{"label":"Stapler versus scalpel resection followed by handsewn closure of the pancreatic remnant for distal pancreatectomy.","url":"https://pubmed.ncbi.nlm.nih.gov/40492489/"},{"label":"Assessing the Potential Difficulty of Left Pancreatectomy: International Modified Delphi Consensus.","url":"https://pubmed.ncbi.nlm.nih.gov/40341349/"},{"label":"Intraoperative and Postoperative Outcomes of Minimally Invasive Versus Open Distal Pancreatectomy for Pancreatic Ductal Adenocarcinoma: A Systematic Review and Meta-Analysis.","url":"https://pubmed.ncbi.nlm.nih.gov/40913221/"}]},{"id":"narrative-indications_and_alternatives","title":"When surgery may help and what alternatives to discuss","text":"When surgery may help and what alternatives to discuss For pancreatic ductal adenocarcinoma, surgical removal offers a possibility of cure. When a distal pancreatectomy is being considered, previous pancreatic surgery, inflammation of the pancreas, the tumour's position and involvement of nearby blood vessels can make the operation more difficult. These factors matter when planning the surgical approach. Open and minimally invasive distal pancreatectomy have been compared specifically in people with pancreatic ductal adenocarcinoma. A separate question is whether the spleen can be preserved in people with small pancreatic neuroendocrine tumours, a different tumour type. Keeping the spleen is a potential option for selected patients with small, well-differentiated grade 1 or 2 neuroendocrine tumours, but the supporting comparisons are preliminary and do not establish it as an alternative for ductal adenocarcinoma. Sources (3) Intraoperative and Postoperative Outcomes of Minimally Invasive Versus Open Distal Pancreatectomy for Pancreatic Ductal Adenocarcinoma: A Systematic Review and Meta-Analysis. Assessing the Potential Difficulty of Left Pancreatectomy: International Modified Delphi Consensus. New sights of spleen-preserving versus splenectomy in distal pancreatectomy for pancreatic neuroendocrine tumors: a systematic review and meta-analysis.","links":[{"label":"Intraoperative and Postoperative Outcomes of Minimally Invasive Versus Open Distal Pancreatectomy for Pancreatic Ductal Adenocarcinoma: A Systematic Review and Meta-Analysis.","url":"https://pubmed.ncbi.nlm.nih.gov/40913221/"},{"label":"Assessing the Potential Difficulty of Left Pancreatectomy: International Modified Delphi Consensus.","url":"https://pubmed.ncbi.nlm.nih.gov/40341349/"},{"label":"New sights of spleen-preserving versus splenectomy in distal pancreatectomy for pancreatic neuroendocrine tumors: a systematic review and meta-analysis.","url":"https://pubmed.ncbi.nlm.nih.gov/42077454/"}]},{"id":"narrative-outcomes_and_limits","title":"Expected outcomes and limits of the evidence","text":"Expected outcomes and limits of the evidence In comparisons involving 9,339 people with pancreatic ductal adenocarcinoma across 20 studies, 2,219 had minimally invasive distal pancreatectomy and 7,120 had open surgery. The pooled relative risk of death within 90 days was 0.43 for minimally invasive surgery compared with open surgery; this is a relative comparison, not an individual patient's percentage risk. Infections and blood transfusions were also less frequent with minimally invasive surgery, while pancreatic fistula, overall complication grades and repeat operations did not differ significantly. The evidence combined randomised trials with observational studies, so these associations do not establish that changing the surgical approach alone produces the same benefit for every patient or improves long-term survival. Sources (1) Intraoperative and Postoperative Outcomes of Minimally Invasive Versus Open Distal Pancreatectomy for Pancreatic Ductal Adenocarcinoma: A Systematic Review and Meta-Analysis.","links":[{"label":"Intraoperative and Postoperative Outcomes of Minimally Invasive Versus Open Distal Pancreatectomy for Pancreatic Ductal Adenocarcinoma: A Systematic Review and Meta-Analysis.","url":"https://pubmed.ncbi.nlm.nih.gov/40913221/"}]},{"id":"narrative-risks","title":"Risks to discuss with your surgeon","text":"Risks to discuss with your surgeon An important complication after distal pancreatectomy is a pancreatic fistula: leakage from the remaining pancreas after surgery. Fluid collections can also develop after left pancreatectomy. Some are visible on scans without causing symptoms; others cause symptoms, become infected or need an intervention. Studies assessing these collections within 90 days used differing definitions, making their results difficult to compare. Stitches and staples have not shown a clear difference in pancreatic fistula risk, and choosing a minimally invasive approach does not remove that risk. Sources (3) Stapler versus scalpel resection followed by handsewn closure of the pancreatic remnant for distal pancreatectomy. Postoperative Fluid Collections Following Left Pancreatectomy: Urgent Need for a Standardized Definition. A Systematic Review and Meta-Analysis. Intraoperative and Postoperative Outcomes of Minimally Invasive Versus Open Distal Pancreatectomy for Pancreatic Ductal Adenocarcinoma: A Systematic Review and Meta-Analysis.","links":[{"label":"Stapler versus scalpel resection followed by handsewn closure of the pancreatic remnant for distal pancreatectomy.","url":"https://pubmed.ncbi.nlm.nih.gov/40492489/"},{"label":"Postoperative Fluid Collections Following Left Pancreatectomy: Urgent Need for a Standardized Definition. A Systematic Review and Meta-Analysis.","url":"https://pubmed.ncbi.nlm.nih.gov/41527860/"},{"label":"Intraoperative and Postoperative Outcomes of Minimally Invasive Versus Open Distal Pancreatectomy for Pancreatic Ductal Adenocarcinoma: A Systematic Review and Meta-Analysis.","url":"https://pubmed.ncbi.nlm.nih.gov/40913221/"}]},{"id":"narrative-recovery_and_followup","title":"Recovery and follow-up care","text":"Recovery and follow-up care Among 9,339 people with pancreatic ductal adenocarcinoma in 20 studies comparing distal pancreatectomy approaches, the pooled hospital stay was 1.99 days shorter after minimally invasive surgery than after open surgery. This describes the difference during the surgical admission, not the total length of stay or the time needed to recover at home. When discussing care with a hospital, useful questions include whether a specialist pancreatic surgical team and supporting services are available, and how the hospital tracks serious complications, unplanned interventions and deaths during the first 90 days after surgery. These are recognised measures of surgical care quality, rather than a schedule for cancer follow-up. Sources (2) Intraoperative and Postoperative Outcomes of Minimally Invasive Versus Open Distal Pancreatectomy for Pancreatic Ductal Adenocarcinoma: A Systematic Review and Meta-Analysis. A core set of quality performance indicators for HPB procedures: a global consensus for hepatectomy, pancreatectomy, and complex biliary surgery.","links":[{"label":"Intraoperative and Postoperative Outcomes of Minimally Invasive Versus Open Distal Pancreatectomy for Pancreatic Ductal Adenocarcinoma: A Systematic Review and Meta-Analysis.","url":"https://pubmed.ncbi.nlm.nih.gov/40913221/"},{"label":"A core set of quality performance indicators for HPB procedures: a global consensus for hepatectomy, pancreatectomy, and complex biliary surgery.","url":"https://pubmed.ncbi.nlm.nih.gov/37198070/"}]},{"id":"explore","title":"Explore surgery and care teams","text":"Explore surgery and care teams Pancreatic and liver cancer: surgery and treatment options Pancreatic and liver cancer: surgeons Pancreatic cancer surgery surgeons Pancreatic and liver cancer: clinics Pancreatic cancer surgery clinics","links":[{"label":"Pancreatic and liver cancer: surgery and treatment options","url":"https://hub.bookimed.com/oncologic-surgery/organ-pancreas-liver/"},{"label":"Pancreatic and liver cancer: surgeons","url":"https://hub.bookimed.com/oncologic-surgery/surgeons-organ-pancreas-liver/"},{"label":"Pancreatic cancer surgery surgeons","url":"https://hub.bookimed.com/oncologic-surgery/surgeons-method-oncosurgery-op727/"},{"label":"Pancreatic and liver cancer: clinics","url":"https://hub.bookimed.com/oncologic-surgery/clinics-organ-pancreas-liver/"},{"label":"Pancreatic cancer surgery clinics","url":"https://hub.bookimed.com/oncologic-surgery/clinics-method-oncosurgery-op727/"}]},{"id":"specialists","title":"Specialists and their operations","text":"Specialists and their operations Turkey · 1–12 of 13 entries Specialist Clinic Operations and experience Ask about treatment Kemal Rasa Anadolu Medical Center Istanbul, Turkey Mastectomy; Thyroid resection; Breast cancer surgery; Pancreatic cancer surgery In practice since 1997 Ask about treatment Turgut Camkiran Büyük Anadolu Hospitals (BAH International) Istanbul, Turkey Small intestine resection; Breast cancer surgery; Whipple surgery; Colectomy (large bowel resection); Gastroectomy; Pancreatic cancer surgery In practice since 1978 Ask about treatment Erol Kilic Büyük Anadolu Hospitals (BAH International) Istanbul, Turkey Small intestine resection; Breast cancer surgery; Whipple surgery; Colectomy (large bowel resection); Gastroectomy; Pancreatic cancer surgery In practice since 2009 Ask about treatment Kadir Dicle Büyük Anadolu Hospitals (BAH International) Istanbul, Turkey Small intestine resection; Breast cancer surgery; Whipple surgery; Colectomy (large bowel resection); Gastroectomy; Pancreatic cancer surgery In practice since 2000 Ask about treatment Levent Akgun Kazak Büyük Anadolu Hospitals (BAH International) Istanbul, Turkey Small intestine resection; Breast cancer surgery; Whipple surgery; Colectomy (large bowel resection); Gastroectomy; Pancreatic cancer surgery In practice since 2008 Ask about treatment Soykan Barlas VM Medical Park Florya Hospital Istanbul, Turkey Small intestine resection; Breast cancer surgery; Lumpectomy; Whipple surgery; Colectomy (large bowel resection); Liver resection; Rectal resection; Gastroectomy; Pancreatic cancer surgery In practice since 2002 Ask about treatment Levent Kaptanoglu VM Medical Park Pendik Hospital Istanbul, Turkey Small intestine resection; Breast cancer surgery; Whipple surgery; Colectomy (large bowel resection); Liver resection; Pancreatic cancer surgery In practice since 1992 Ask about treatment Mehmet Akif Aydin Medical Park Bahcelievler Hospital Istanbul, Turkey Small intestine resection; Breast cancer surgery; Whipple surgery; Colectomy (large bowel resection); Throat cancer operation; Gastroectomy; Pancreatic cancer surgery In practice since 1998 Ask about treatment Abdulcabbar Kartal Anadolu Medical Center Istanbul, Turkey Removal of colon cancer; Stomach cancer surgery; Esophagectomy; Hyperthermic Intraperitoneal Chemotherapy (HIPEC); Whipple surgery; Colectomy (large bowel resection); Liver resection; Rectal resection; Pancreatic cancer surgery In practice since 2007 Ask about treatment Kivanc Derya Peker Hisar Hospital Intercontinental Istanbul, Turkey Thyroid resection; Removal of liver cancer; Removal of colon cancer; Stomach cancer surgery; Hyperthermic Intraperitoneal Chemotherapy (HIPEC); Whipple surgery; Colectomy (large bowel resection); Liver resection; Rectal resection; Pancreatic cancer surgery In practice since 2004 Ask about treatment Hanifi Onalan Atlas University Hospital Istanbul, Turkey Thyroid resection; Small intestine resection; Colectomy (large bowel resection); Liver resection; Gastroectomy; Pancreatic cancer surgery In practice since 1999 Ask about treatment Samet Yardimci Professor Dr. Samet Yardımcı Clinic Istanbul, Turkey Small intestine resection; Whipple surgery; Liver resection; Gastroectomy; Pancreatic cancer surgery In practice since 2003 Ask about treatment Turkey · 13–13 of 13 entries Specialist Clinic Operations and experience Ask about treatment Sedat Karademir Anadolu Medical Center Istanbul, Turkey Whipple surgery; Gastroectomy; Pancreatic cancer surgery In practice since 1988 Ask about treatment Germany · 3 entries Specialist Clinic Operations and experience Ask about treatment Peter Schenker Medical Center in Solingen Solingen, Germany Esophagectomy; Small intestine resection; Lumpectomy; Whipple surgery; Mohs microsurgery; Colectomy (large bowel resection); Liver resection; Rectal resection; Gastroectomy; Pancreatic cancer surgery In practice since 2007 Ask about treatment Wolfgang Schröder Helios Gesundheit Wuppertal, Germany Removal of liver cancer; Removal of colon cancer; Stomach cancer surgery; Da Vinci Robotic System; Esophagectomy; Small intestine resection; Breast cancer surgery; Lumpectomy; Hyperthermic Intraperitoneal Chemotherapy (HIPEC); Whipple surgery; Mohs microsurgery; Lung cancer surgery; Colectomy (large bowel resection); Liver resection; Rectal resection; Throat cancer operation; Gastroectomy; Pancreatic cancer surgery In practice since 2001 Ask about treatment Florian Gebauer Chief Of General And Visceral Surgery Helios Gesundheit Wuppertal, Germany Small intestine resection; Whipple surgery; Colectomy (large bowel resection); Liver resection; Rectal resection; Gastroectomy; Pancreatic cancer surgery In practice since 2008 Ask about treatment Spain · 1 entries Specialist Clinic Operations and experience Ask about treatment Xavier Centeno Fornies Centro Médico Teknon Barcelona, Spain Small intestine resection; Lumpectomy; Whipple surgery; Colectomy (large bowel resection); Liver resection; Rectal resection; Throat cancer operation; Gastroectomy; Pancreatic cancer surgery In practice since 1994 Ask about treatment Israel · 4 entries Specialist Clinic Operations and experience Ask about treatment Joseph Klauzner Sourasky Medical Center (Ichilov) Tel Aviv, Israel Removal of liver cancer; Removal of colon cancer; Stomach cancer surgery; Da Vinci Robotic System; Small intestine resection; Hyperthermic Intraperitoneal Chemotherapy (HIPEC); Whipple surgery; Colectomy (large bowel resection); Liver resection; Rectal resection; Gastroectomy; Pancreatic cancer surgery In practice since 1984 Ask about treatment Almog Ben Yaacov Sheba Medical Center Ramat Gan, Israel Removal of liver cancer; Removal of colon cancer; Stomach cancer surgery; Da Vinci Robotic System; Esophagectomy; Small intestine resection; Hyperthermic Intraperitoneal Chemotherapy (HIPEC); Whipple surgery; Colectomy (large bowel resection); Liver resection; Gastroectomy; Pancreatic cancer surgery In practice since 2006 Ask about treatment boaz Sagi Sourasky Medical Center (Ichilov) Tel Aviv, Israel Stomach cancer surgery; Gastroectomy; Pancreatic cancer surgery In practice since 1990 Ask about treatment Professor Ido Nachmany Sheba Medical Center Ramat Gan, Israel Removal of liver cancer; Stomach cancer surgery; Small intestine resection; Whipple surgery; Liver resection; Gastroectomy; Pancreatic cancer surgery In practice since 1998 Ask about treatment Czech Republic · 1 entries Specialist Clinic Operations and experience Ask about treatment Jaroslav Tvaruzek Robotic Surgery Center in St. Zdislava Hospital Velke Mezirici, Czech Republic Thyroid resection; Removal of liver cancer; Removal of colon cancer; Stomach cancer surgery; Da Vinci Robotic System; Esophagectomy; Small intestine resection; Colectomy (large bowel resection); Liver resection; Rectal resection; Pancreatic cancer surgery In practice since 1990 Ask about treatment Italy · 2 entries Specialist Clinic Operations and experience Ask about treatment Riccardo Rosati San Raffaele Milan, Italy Stomach cancer surgery; Small intestine resection; Colectomy (large bowel resection); Rectal resection; Pancreatic cancer surgery In practice since 1985 Ask about treatment Massimo Falconi San Raffaele Milan, Italy Pancreatic cancer surgery Ask about treatment Republic of Korea · 1 entries Specialist Clinic Operations and experience Ask about treatment Park Sundo NAEUN HOSPITAL Incheon, Republic of Korea Colectomy (large bowel resection); Pancreatic cancer surgery In practice since 2000 Ask about treatment Austria · 1 entries Specialist Clinic Operations and experience Ask about treatment Martin Schindl Wiener Privatklinik (WPK) Vienna, Austria Pancreatic cancer surgery In practice since 1994 Ask about treatment Sources (26) Kemal Rasa Peter Schenker Turgut Camkiran Erol Kilic Kadir Dicle Levent Akgun Kazak Soykan Barlas Xavier Centeno Fornies Levent Kaptanoglu Mehmet Akif Aydin Wolfgang Schröder Joseph Klauzner Jaroslav Tvaruzek Riccardo Rosati Abdulcabbar Kartal Kivanc Derya Peker Hanifi Onalan Almog Ben Yaacov Florian Gebauer Chief Of General And Visceral Surgery Park Sundo Samet Yardimci boaz Sagi Sedat Karademir Professor Ido Nachmany Massimo Falconi Martin Schindl","links":[{"label":"","url":"https://hub.bookimed.com/oncologic-surgery/surgeon-bookimed-2016/"},{"label":"Kemal Rasa","url":"https://hub.bookimed.com/oncologic-surgery/surgeon-bookimed-2016/"},{"label":"Anadolu Medical Center","url":"https://hub.bookimed.com/oncologic-surgery/clinic-87/"},{"label":"","url":"https://hub.bookimed.com/oncologic-surgery/surgeon-bookimed-7814/"},{"label":"Turgut Camkiran","url":"https://hub.bookimed.com/oncologic-surgery/surgeon-bookimed-7814/"},{"label":"Büyük Anadolu Hospitals (BAH International)","url":"https://hub.bookimed.com/oncologic-surgery/clinic-5520/"},{"label":"","url":"https://hub.bookimed.com/oncologic-surgery/surgeon-bookimed-7902/"},{"label":"Erol Kilic","url":"https://hub.bookimed.com/oncologic-surgery/surgeon-bookimed-7902/"},{"label":"Büyük Anadolu Hospitals (BAH 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Schindl","url":"https://us-uk.bookimed.com/doctor/dr-martin-schindl/"}],"tables":[[["Specialist","Clinic","Operations and experience","Ask about treatment"],["Kemal Rasa","Anadolu Medical Center Istanbul, Turkey","Mastectomy; Thyroid resection; Breast cancer surgery; Pancreatic cancer surgery In practice since 1997","Ask about treatment"],["Turgut Camkiran","Büyük Anadolu Hospitals (BAH International) Istanbul, Turkey","Small intestine resection; Breast cancer surgery; Whipple surgery; Colectomy (large bowel resection); Gastroectomy; Pancreatic cancer surgery In practice since 1978","Ask about treatment"],["Erol Kilic","Büyük Anadolu Hospitals (BAH International) Istanbul, Turkey","Small intestine resection; Breast cancer surgery; Whipple surgery; Colectomy (large bowel resection); Gastroectomy; Pancreatic cancer surgery In practice since 2009","Ask about treatment"],["Kadir Dicle","Büyük Anadolu Hospitals (BAH International) Istanbul, Turkey","Small intestine resection; Breast cancer surgery; Whipple surgery; Colectomy (large bowel resection); Gastroectomy; Pancreatic cancer surgery In practice since 2000","Ask about treatment"],["Levent Akgun Kazak","Büyük Anadolu Hospitals (BAH International) Istanbul, Turkey","Small intestine resection; Breast cancer surgery; Whipple surgery; Colectomy (large bowel resection); Gastroectomy; Pancreatic cancer surgery In practice since 2008","Ask about treatment"],["Soykan Barlas","VM Medical Park Florya Hospital Istanbul, Turkey","Small intestine resection; Breast cancer surgery; Lumpectomy; Whipple surgery; Colectomy (large bowel resection); Liver resection; Rectal resection; Gastroectomy; Pancreatic cancer surgery In practice since 2002","Ask about treatment"],["Levent Kaptanoglu","VM Medical Park Pendik Hospital Istanbul, Turkey","Small intestine resection; Breast cancer surgery; Whipple surgery; Colectomy (large bowel resection); Liver resection; Pancreatic cancer surgery In practice since 1992","Ask about treatment"],["Mehmet Akif Aydin","Medical Park Bahcelievler Hospital Istanbul, Turkey","Small intestine resection; Breast cancer surgery; Whipple surgery; Colectomy (large bowel resection); Throat cancer operation; Gastroectomy; Pancreatic cancer surgery In practice since 1998","Ask about treatment"],["Abdulcabbar Kartal","Anadolu Medical Center Istanbul, Turkey","Removal of colon cancer; Stomach cancer surgery; Esophagectomy; Hyperthermic Intraperitoneal Chemotherapy (HIPEC); Whipple surgery; Colectomy (large bowel resection); Liver resection; Rectal resection; Pancreatic cancer surgery In practice since 2007","Ask about treatment"],["Kivanc Derya Peker","Hisar Hospital Intercontinental Istanbul, Turkey","Thyroid resection; Removal of liver cancer; Removal of colon cancer; Stomach cancer surgery; Hyperthermic Intraperitoneal Chemotherapy (HIPEC); Whipple surgery; Colectomy (large bowel resection); Liver resection; Rectal resection; Pancreatic cancer surgery In practice since 2004","Ask about treatment"],["Hanifi Onalan","Atlas University Hospital Istanbul, Turkey","Thyroid resection; Small intestine resection; Colectomy (large bowel resection); Liver resection; Gastroectomy; Pancreatic cancer surgery In practice since 1999","Ask about treatment"],["Samet Yardimci","Professor Dr. Samet Yardımcı Clinic Istanbul, Turkey","Small intestine resection; Whipple surgery; Liver resection; Gastroectomy; Pancreatic cancer surgery In practice since 2003","Ask about treatment"]],[["Specialist","Clinic","Operations and experience","Ask about treatment"],["Sedat Karademir","Anadolu Medical Center Istanbul, Turkey","Whipple surgery; Gastroectomy; Pancreatic cancer surgery In practice since 1988","Ask about treatment"]],[["Specialist","Clinic","Operations and experience","Ask about treatment"],["Peter Schenker","Medical Center in Solingen Solingen, Germany","Esophagectomy; Small intestine resection; Lumpectomy; Whipple surgery; Mohs microsurgery; Colectomy (large bowel resection); Liver resection; Rectal resection; Gastroectomy; Pancreatic cancer surgery In practice since 2007","Ask about treatment"],["Wolfgang Schröder","Helios Gesundheit Wuppertal, Germany","Removal of liver cancer; Removal of colon cancer; Stomach cancer surgery; Da Vinci Robotic System; Esophagectomy; Small intestine resection; Breast cancer surgery; Lumpectomy; Hyperthermic Intraperitoneal Chemotherapy (HIPEC); Whipple surgery; Mohs microsurgery; Lung cancer surgery; Colectomy (large bowel resection); Liver resection; Rectal resection; Throat cancer operation; Gastroectomy; Pancreatic cancer surgery In practice since 2001","Ask about treatment"],["Florian Gebauer Chief Of General And Visceral Surgery","Helios Gesundheit Wuppertal, Germany","Small intestine resection; Whipple surgery; Colectomy (large bowel resection); Liver resection; Rectal resection; Gastroectomy; Pancreatic cancer surgery In practice since 2008","Ask about treatment"]],[["Specialist","Clinic","Operations and experience","Ask about treatment"],["Xavier Centeno Fornies","Centro Médico Teknon Barcelona, Spain","Small intestine resection; Lumpectomy; Whipple surgery; Colectomy (large bowel resection); Liver resection; Rectal resection; Throat cancer operation; Gastroectomy; Pancreatic cancer surgery In practice since 1994","Ask about treatment"]],[["Specialist","Clinic","Operations and experience","Ask about treatment"],["Joseph Klauzner","Sourasky Medical Center (Ichilov) Tel Aviv, Israel","Removal of liver cancer; Removal of colon cancer; Stomach cancer surgery; Da Vinci Robotic System; Small intestine resection; Hyperthermic Intraperitoneal Chemotherapy (HIPEC); Whipple surgery; Colectomy (large bowel resection); Liver resection; Rectal resection; Gastroectomy; Pancreatic cancer surgery In practice since 1984","Ask about treatment"],["Almog Ben Yaacov","Sheba Medical Center Ramat Gan, Israel","Removal of liver cancer; Removal of colon cancer; Stomach cancer surgery; Da Vinci Robotic System; Esophagectomy; Small intestine resection; Hyperthermic Intraperitoneal Chemotherapy (HIPEC); Whipple surgery; Colectomy (large bowel resection); Liver resection; Gastroectomy; Pancreatic cancer surgery In practice since 2006","Ask about treatment"],["boaz Sagi","Sourasky Medical Center (Ichilov) Tel Aviv, Israel","Stomach cancer surgery; Gastroectomy; Pancreatic cancer surgery In practice since 1990","Ask about treatment"],["Professor Ido Nachmany","Sheba Medical Center Ramat Gan, Israel","Removal of liver cancer; Stomach cancer surgery; Small intestine resection; Whipple surgery; Liver resection; Gastroectomy; Pancreatic cancer surgery In practice since 1998","Ask about treatment"]],[["Specialist","Clinic","Operations and experience","Ask about treatment"],["Jaroslav Tvaruzek","Robotic Surgery Center in St. Zdislava Hospital Velke Mezirici, Czech Republic","Thyroid resection; Removal of liver cancer; Removal of colon cancer; Stomach cancer surgery; Da Vinci Robotic System; Esophagectomy; Small intestine resection; Colectomy (large bowel resection); Liver resection; Rectal resection; Pancreatic cancer surgery In practice since 1990","Ask about treatment"]],[["Specialist","Clinic","Operations and experience","Ask about treatment"],["Riccardo Rosati","San Raffaele Milan, Italy","Stomach cancer surgery; Small intestine resection; Colectomy (large bowel resection); Rectal resection; Pancreatic cancer surgery In practice since 1985","Ask about treatment"],["Massimo Falconi","San Raffaele Milan, Italy","Pancreatic cancer surgery","Ask about treatment"]],[["Specialist","Clinic","Operations and experience","Ask about treatment"],["Park Sundo","NAEUN HOSPITAL Incheon, Republic of Korea","Colectomy (large bowel resection); Pancreatic cancer surgery In practice since 2000","Ask about treatment"]],[["Specialist","Clinic","Operations and experience","Ask about treatment"],["Martin Schindl","Wiener Privatklinik (WPK) Vienna, Austria","Pancreatic cancer surgery In practice since 1994","Ask about treatment"]]]},{"id":"programmes","title":"Programmes and prices","text":"Programmes and prices Public programme Clinic Recorded price Programme details Request a quote Pressurized Intraperitoneal Aerosol Chemotherapy (Minimally Invasive) PIPAC Centro Médico Teknon USD 22427.56 Bookimed offer , Oct 2026 What the programme includes Pressurized Intraperitoneal Aerosol Chemotherapy (Minimally Invasive) PIPAC Included: Removal of colon cancer Included: Stomach cancer surgery Included: Pancreatic cancer surgery Excluded: Airfare Excluded: Additional activities not included Stay: 2 days in the hospital Stay: 7 days in the hotel Read the public programme source Ask about treatment WHIPPLE PROCEDURE – SURGICAL REMOVAL OF THE PANCREATIC HEAD, DUODENUM, AND BILE DUCT Anadolu Medical Center USD 29000 Bookimed offer , Oct 2026 What the programme includes WHIPPLE PROCEDURE – SURGICAL REMOVAL OF THE PANCREATIC HEAD, DUODENUM, AND BILE DUCT Included: Pancreatic cancer surgery Included: Whipple surgery Included: Consultation with an anesthesiologist Included: Post-op medications Included: Blood tests Included: Preoperative tests Included: General anesthesia Included: Electrocardiogram (ECG) Included: Medical Examination for pre-operation Included: Transfer airport-clinic-airport Excluded: Airfare Excluded: Hotel Excluded: Additional activities not included Excluded: Accommodation is not included Stay: 17 days in the hospital Additional source terms: Advanced pancreatic cancer surgery performed by experienced hepatopancreatobiliary surgeons in a fully equipped tertiary hospital. The procedure includes comprehensive perioperative care, ICU monitoring, and multidisciplinary evaluation to ensure patient safety and optimal surgical outcomes. Included Services 15-night inpatient hospital stay in a standard room with accommodation for one accompanying person 2 days of intensive care unit (ICU) monitoring Pre-operative evaluation by an anesthesiologist Routine anesthesia-related laboratory and diagnostic tests Daily physician visits during hospitalization All procedure-related surgical materials and medications Standard pathological analysis of surgical specimens Additional Notes: The total cost may vary depending on medication dosage and patient-specific requirements. Any additional diagnostic tests, consultations, extended pathology, or specialized procedures required during hospitalization will be charged separately. The listed price is valid only for the specified treatment. If the treatment plan changes after the physician consultation or during surgery, the total cost will be updated accordingly. Additional charges: Advanced pancreatic cancer surgery performed by experienced hepatopancreatobiliary surgeons in a fully equipped tertiary hospital. The procedure includes comprehensive perioperative care, ICU monitoring, and multidisciplinary evaluation to ensure patient safety and optimal surgical outcomes. Included Services 15-night inpatient hospital stay in a standard room with accommodation for one accompanying person 2 days of intensive care unit (ICU) monitoring Pre-operative evaluation by an anesthesiologist Routine anesthesia-related laboratory and diagnostic tests Daily physician visits during hospitalization All procedure-related surgical materials and medications Standard pathological analysis of surgical specimens Additional Notes: The total cost may vary depending on medication dosage and patient-specific requirements. Any additional diagnostic tests, consultations, extended pathology, or specialized procedures required during hospitalization will be charged separately. The listed price is valid only for the specified treatment. If the treatment plan changes after the physician consultation or during surgery, the total cost will be updated accordingly. Read the public programme source Ask about treatment Sources (2) Pressurized Intraperitoneal Aerosol Chemotherapy (Minimally Invasive) PIPAC WHIPPLE PROCEDURE – SURGICAL REMOVAL OF THE PANCREATIC HEAD, DUODENUM, AND BILE DUCT","links":[{"label":"Centro Médico Teknon","url":"https://hub.bookimed.com/oncologic-surgery/clinic-78/"},{"label":"Bookimed offer","url":"https://us-uk.bookimed.com/offer-procedure/69946fb07f39ee1d8f089ec4/"},{"label":"Read the public programme source","url":"https://us-uk.bookimed.com/offer-procedure/69946fb07f39ee1d8f089ec4/"},{"label":"Anadolu Medical Center","url":"https://hub.bookimed.com/oncologic-surgery/clinic-87/"},{"label":"Bookimed offer","url":"https://us-uk.bookimed.com/offer-procedure/69aaabad4fd5b2a3180028b2/"},{"label":"Read the public programme source","url":"https://us-uk.bookimed.com/offer-procedure/69aaabad4fd5b2a3180028b2/"},{"label":"Pressurized Intraperitoneal Aerosol Chemotherapy (Minimally Invasive) PIPAC","url":"https://us-uk.bookimed.com/offer-procedure/69946fb07f39ee1d8f089ec4/"},{"label":"WHIPPLE PROCEDURE – SURGICAL REMOVAL OF THE PANCREATIC HEAD, DUODENUM, AND BILE DUCT","url":"https://us-uk.bookimed.com/offer-procedure/69aaabad4fd5b2a3180028b2/"}],"tables":[[["Public programme","Clinic","Recorded price","Programme details","Request a quote"],["Pressurized Intraperitoneal Aerosol Chemotherapy (Minimally Invasive) PIPAC","Centro Médico Teknon","USD 22427.56 Bookimed offer , Oct 2026","What the programme includes Pressurized Intraperitoneal Aerosol Chemotherapy (Minimally Invasive) PIPAC Included: Removal of colon cancer Included: Stomach cancer surgery Included: Pancreatic cancer surgery Excluded: Airfare Excluded: Additional activities not included Stay: 2 days in the hospital Stay: 7 days in the hotel Read the public programme source","Ask about treatment"],["WHIPPLE PROCEDURE – SURGICAL REMOVAL OF THE PANCREATIC HEAD, DUODENUM, AND BILE DUCT","Anadolu Medical Center","USD 29000 Bookimed offer , Oct 2026","What the programme includes WHIPPLE PROCEDURE – SURGICAL REMOVAL OF THE PANCREATIC HEAD, DUODENUM, AND BILE DUCT Included: Pancreatic cancer surgery Included: Whipple surgery Included: Consultation with an anesthesiologist Included: Post-op medications Included: Blood tests Included: Preoperative tests Included: General anesthesia Included: Electrocardiogram (ECG) Included: Medical Examination for pre-operation Included: Transfer airport-clinic-airport Excluded: Airfare Excluded: Hotel Excluded: Additional activities not included Excluded: Accommodation is not included Stay: 17 days in the hospital Additional source terms: Advanced pancreatic cancer surgery performed by experienced hepatopancreatobiliary surgeons in a fully equipped tertiary hospital. The procedure includes comprehensive perioperative care, ICU monitoring, and multidisciplinary evaluation to ensure patient safety and optimal surgical outcomes. Included Services 15-night inpatient hospital stay in a standard room with accommodation for one accompanying person 2 days of intensive care unit (ICU) monitoring Pre-operative evaluation by an anesthesiologist Routine anesthesia-related laboratory and diagnostic tests Daily physician visits during hospitalization All procedure-related surgical materials and medications Standard pathological analysis of surgical specimens Additional Notes: The total cost may vary depending on medication dosage and patient-specific requirements. Any additional diagnostic tests, consultations, extended pathology, or specialized procedures required during hospitalization will be charged separately. The listed price is valid only for the specified treatment. If the treatment plan changes after the physician consultation or during surgery, the total cost will be updated accordingly. Additional charges: Advanced pancreatic cancer surgery performed by experienced hepatopancreatobiliary surgeons in a fully equipped tertiary hospital. The procedure includes comprehensive perioperative care, ICU monitoring, and multidisciplinary evaluation to ensure patient safety and optimal surgical outcomes. Included Services 15-night inpatient hospital stay in a standard room with accommodation for one accompanying person 2 days of intensive care unit (ICU) monitoring Pre-operative evaluation by an anesthesiologist Routine anesthesia-related laboratory and diagnostic tests Daily physician visits during hospitalization All procedure-related surgical materials and medications Standard pathological analysis of surgical specimens Additional Notes: The total cost may vary depending on medication dosage and patient-specific requirements. Any additional diagnostic tests, consultations, extended pathology, or specialized procedures required during hospitalization will be charged separately. The listed price is valid only for the specified treatment. If the treatment plan changes after the physician consultation or during surgery, the total cost will be updated accordingly. Read the public programme source","Ask about treatment"]]]},{"id":"research","title":"Research and sources","text":"Research and sources Sources (18) Management of the pancreatic transection plane after left (distal) pancreatectomy: Expert consensus guidelines by the International Study Group of Pancreatic Surgery (ISGPS). Assessing the Potential Difficulty of Left Pancreatectomy: International Modified Delphi Consensus. A core set of quality performance indicators for HPB procedures: a global consensus for hepatectomy, pancreatectomy, and complex biliary surgery. International Expert Consensus on Precision Anatomy for minimally invasive distal pancreatectomy: PAM-HBP Surgery Project. The role of total pancreatectomy with islet autotransplantation in the treatment of chronic pancreatitis: A report from the International Consensus Guidelines in chronic pancreatitis. Long Term Metabolic Outcomes Following Pancreatectomy and Autologous Islet Transplantation: Systematic Review and Meta-Analysis. Postoperative Fluid Collections Following Left Pancreatectomy: Urgent Need for a Standardized Definition. A Systematic Review and Meta-Analysis. New sights of spleen-preserving versus splenectomy in distal pancreatectomy for pancreatic neuroendocrine tumors: a systematic review and meta-analysis. Robot-assisted versus laparoscopic distal pancreatectomy: an updated systematic review and meta-analysis including patient subgroups and meta-regression analyses. Preventing pancreatic fistula following pancreatectomy: meta-analysis of randomized clinical trials. Suture versus stapler in distal pancreatectomy and its impact on postoperative pancreatic fistula. A comprehensive analysis of robotic assisted vs. laparoscopic distal pancreatectomy using propensity score matching. Minimally invasive versus open distal pancreatectomy for pancreatic Tumors: An updated meta-analysis and meta-regression. Stapler versus scalpel resection followed by handsewn closure of the pancreatic remnant for distal pancreatectomy. Intraoperative and Postoperative Outcomes of Minimally Invasive Versus Open Distal Pancreatectomy for Pancreatic Ductal Adenocarcinoma: A Systematic Review and Meta-Analysis. Impact of Pancreatic Stump Wrapping with Mesh on Post-Operative Pancreatic Fistula in Patients Undergoing Distal/Left Pancreatectomy for Malignant or Benign Diseases: A Systematic Review and Meta-Analysis. Global trends in robotic duodenopancreatectomy for cancer: a systematic review and meta-analysis. Robotic distal pancreatectomy for pancreatic ductal adenocarcinoma: a systematic review and meta-analysis of outcomes in Western vs. Eastern Centers.","links":[{"label":"Management of the pancreatic transection plane after left (distal) pancreatectomy: Expert consensus guidelines by the International Study Group of Pancreatic Surgery (ISGPS).","url":"https://pubmed.ncbi.nlm.nih.gov/32249092/"},{"label":"Assessing the Potential Difficulty of Left Pancreatectomy: International Modified Delphi Consensus.","url":"https://pubmed.ncbi.nlm.nih.gov/40341349/"},{"label":"A core set of quality performance indicators for HPB procedures: a global consensus for hepatectomy, pancreatectomy, and complex biliary surgery.","url":"https://pubmed.ncbi.nlm.nih.gov/37198070/"},{"label":"International Expert Consensus on Precision Anatomy for minimally invasive distal pancreatectomy: PAM-HBP Surgery Project.","url":"https://pubmed.ncbi.nlm.nih.gov/34719123/"},{"label":"The role of total pancreatectomy with islet autotransplantation in the treatment of chronic pancreatitis: A report from the International Consensus Guidelines in chronic pancreatitis.","url":"https://pubmed.ncbi.nlm.nih.gov/32327370/"},{"label":"Long Term Metabolic Outcomes Following Pancreatectomy and Autologous Islet Transplantation: Systematic Review and Meta-Analysis.","url":"https://pubmed.ncbi.nlm.nih.gov/41508796/"},{"label":"Postoperative Fluid Collections Following Left Pancreatectomy: Urgent Need for a Standardized Definition. A Systematic Review and Meta-Analysis.","url":"https://pubmed.ncbi.nlm.nih.gov/41527860/"},{"label":"New sights of spleen-preserving versus splenectomy in distal pancreatectomy for pancreatic neuroendocrine tumors: a systematic review and meta-analysis.","url":"https://pubmed.ncbi.nlm.nih.gov/42077454/"},{"label":"Robot-assisted versus laparoscopic distal pancreatectomy: an updated systematic review and meta-analysis including patient subgroups and meta-regression analyses.","url":"https://pubmed.ncbi.nlm.nih.gov/42133237/"},{"label":"Preventing pancreatic fistula following pancreatectomy: meta-analysis of randomized clinical trials.","url":"https://pubmed.ncbi.nlm.nih.gov/42765565/"},{"label":"Suture versus stapler in distal pancreatectomy and its impact on postoperative pancreatic fistula.","url":"https://pubmed.ncbi.nlm.nih.gov/39972194/"},{"label":"A comprehensive analysis of robotic assisted vs. laparoscopic distal pancreatectomy using propensity score matching.","url":"https://pubmed.ncbi.nlm.nih.gov/40014153/"},{"label":"Minimally invasive versus open distal pancreatectomy for pancreatic Tumors: An updated meta-analysis and meta-regression.","url":"https://pubmed.ncbi.nlm.nih.gov/40382257/"},{"label":"Stapler versus scalpel resection followed by handsewn closure of the pancreatic remnant for distal pancreatectomy.","url":"https://pubmed.ncbi.nlm.nih.gov/40492489/"},{"label":"Intraoperative and Postoperative Outcomes of Minimally Invasive Versus Open Distal Pancreatectomy for Pancreatic Ductal Adenocarcinoma: A Systematic Review and Meta-Analysis.","url":"https://pubmed.ncbi.nlm.nih.gov/40913221/"},{"label":"Impact of Pancreatic Stump Wrapping with Mesh on Post-Operative Pancreatic Fistula in Patients Undergoing Distal/Left Pancreatectomy for Malignant or Benign Diseases: A Systematic Review and Meta-Analysis.","url":"https://pubmed.ncbi.nlm.nih.gov/41011080/"},{"label":"Global trends in robotic duodenopancreatectomy for cancer: a systematic review and meta-analysis.","url":"https://pubmed.ncbi.nlm.nih.gov/41014394/"},{"label":"Robotic distal pancreatectomy for pancreatic ductal adenocarcinoma: a systematic review and meta-analysis of outcomes in Western vs. Eastern Centers.","url":"https://pubmed.ncbi.nlm.nih.gov/41238961/"}]},{"id":"request","title":"Request a treatment proposal","text":"Request a treatment proposal Share your diagnosis and reports through the Bookimed request form.","links":[]},{"id":"request-form","title":"Ask about treatment","text":"Ask about treatment What would you like help with? Answer a few questions on Bookimed, then add your contact details to request help. Privacy policy Open the Bookimed request form","links":[{"label":"Privacy policy","url":"https://us-uk.bookimed.com/page/privacy-policy/"}]}],"introduction":"Oncologic surgery guide / Pancreatic cancer surgery Decision guide Pancreatic cancer surgery A distal pancreatectomy, also called a left pancreatectomy, removes the body and tail of the pancreas. Research project led by Yevhenii Kozlov · Co-Founder of Bookimed Updated 21 October 2026 Sources linked throughout","related_documents":[{"id":"oncologic-surgery","title":"Oncologic surgery: explore care by organ","kind":"home","url":"https://hub.bookimed.com/oncologic-surgery/","json_url":"https://hub.bookimed.com/oncologic-surgery/page-contexts/oncologic-surgery.json"},{"id":"clinic-1","title":"Sourasky Medical Center (Ichilov)","kind":"clinic-profile","url":"https://hub.bookimed.com/oncologic-surgery/clinic-1/","json_url":"https://hub.bookimed.com/oncologic-surgery/clinic-1/#page-context"},{"id":"clinic-9","title":"Sheba Medical Center","kind":"clinic-profile","url":"https://hub.bookimed.com/oncologic-surgery/clinic-9/","json_url":"https://hub.bookimed.com/oncologic-surgery/clinic-9/#page-context"},{"id":"clinic-46","title":"Wiener Privatklinik 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