New sights of spleen-preserving versus splenectomy in distal pancreatectomy for pancreatic neuroendocrine tumors: a systematic review and meta-analysis
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By
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April 16, 2026
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1
This study compares splenic-preserving distal pancreatectomy (SPDP) and distal pancreatectomy with splenectomy (DPS) for pancreatic neuroendocrine tumors (pNETs).
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SPDP resulted in less intraoperative blood loss, shorter operative time, and fewer postoperative major complications compared to DPS in pNET patients.
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The analysis included 457 patients, with 226 undergoing SPDP and 231 undergoing DPS, primarily involving well-differentiated G1/G2 tumors.
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SPDP demonstrated a shorter hospital stay and lower transfusion rates, suggesting it may reduce surgical risks for selected pNET patients.
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Further high-quality studies are needed to refine patient selection criteria and evaluate long-term outcomes of SPDP in managing pNETs.