Total pancreatectomy involves resection of the entire pancreas, distal stomach, duodenum, spleen, and regional lymph nodes.More extensive procedures include regional pancreatectomy type I (total pancreatectomy + gallbladder + portal vein +/- transverse colon/mesocolon/omentum) and regional pancreatectomy type II (regional pancreatectomy + mesenteric vessels/celiac axis vessels/vena cava/aorta.
See Distal Pancreatectomy and Proximal Pancreatectomyfor the appropriate portions of the specimen. Also include margins and additional sections of vessels, colon, and omentum, if included, particularly areas involved by tumor.