Previous studies showed mixed results on whether keeping the spleen during laparoscopic distal pancreatectomy (LDP) helps reduce infectious complications.
This study analyzed data from 3787 patients across 92 centers in Korea and Japan and compared outcomes between LDP with spleen removal and with spleen preservation using statistical matching techniques.
The findings indicated that preserving the spleen resulted in lower overall infectious complications, particularly intra-abdominal abscesses, although the skill level of surgeons impacted these rates.