This procedure is performed by a team specialised in pancreatic surgery, usually through a minimally invasive approach. The whole process follows a strict protocol and is closely monitored: you will know at every moment what to expect and who to turn to.
Before surgery
PrehabilitationDaily exercise, stopping smoking and good blood sugar control if you are diabetic.
NutritionA complete, protein-rich diet. Tell us if you have lost weight unintentionally.
VaccinationIf removal of the spleen is planned, you will receive vaccines before surgery. Have them on the scheduled date.
FastingNo solids for 6 hours before; clear fluids up to 2 hours before.
MedicationSpecific instructions if you take blood thinners, antiplatelets or diabetes medication.
The day of surgery
TechniqueUsually laparoscopic or robotic. Sometimes the spleen is preserved; your surgeon will explain the plan.
DurationUsually between 3 and 5 hours.
DrainA drain is usually left next to the pancreas to monitor the area for the first few days.
After surgery
DrainIt is analysed and removed when safe. Sometimes the pancreas 'leaks' for a few days (fistula); it usually resolves on its own.
Blood sugarYour blood sugar will be monitored: alterations may occur, especially if you were already diabetic.
DietEarly progression. Eat small, frequent amounts at first; the use of enzymes will be assessed.
ActivityWalk daily from discharge. No lifting for 4–6 weeks.
⚠ When to seek help immediately
Go to the emergency department or contact your team if you have:
Fever of 38 °C (100.4 °F) or higher
Pain that does not improve with your prescribed medication
Persistent vomiting or inability to keep fluids down
A wound that is red, warm, oozing or opening up
Difficulty breathing or chest pain
No gas or bowel movements together with abdominal bloating
Fever with chills (especially if your spleen was removed)
Cloudy fluid from the wound or drain site
Repeated very high or very low blood sugar readings
