A total of 19 cases were performed the resection of the body and tail of the pancreas with preservation of spleen in our department since it was first successfully carried out in the late 1980′s The indications of operation were pancreatic cystadenoma（n=8）

pseudocyst（n=2）

insulioma（n=3）

pancreatic injury（n=6） All but one went well intraoperatively and postoperatively with the normal appearance and function of the spleen The main observation items of postoperation were leukocyte phagocytosis test

splenic CT scan

ultrasonography and Technetium 99m spleen scan The exceptional one showed transient insufficiency of splenic blood supply after the operation Considering the regional conditions in the operations

the procedure could be classified into the resection of the body and tail of pancreas with and without conservation of the splenic artery and vein