What is your Recovery Advice for a Distal Pancreatectomy?

Posted by jenniferweirich1 @jenniferweirich1, Nov 27, 2025

Hello. I have a pancreatic neuroendocrine tumor in the tail of my pancreas. My surgeon at the Mayo Clinic has scheduled a distal pancreatectomy (and possibly splenectomy) on Jan 6th. Therefore, I was trying to hear other people’s experiences who have had a distal pancreatectomy? How was recovery, pain, and eating after the surgery? Also, please tell me the stuff you wish you knew beforehand so I can be prepared as possible! Thank you

Interested in more discussions like this? Go to the Pancreatic Cancer Support Group.

Profile picture for cazalia @cazalia

@bunky2078 thank you for the follow up! Did you do chemo after or did you do it before surgery as well? My mom will do chemo after. We were at first wondering if she should have chemo first but she’s having surgery in less than 2 weeks after we found the initial tumor in her scan so we feel lucky we can do it so soon and if all goes well hopefully she will start chemo in 5-6 weeks.

did they find that your tumor was consistent with the scans or did they find anything new during surgery?

My mom is very active now but she does have a lung and heart condition so hoping this won’t put too much of a strain on her body but we will get her walking as soon as we can.

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@cazalia I did chemo after surgery. I had a chemo port placed first and then chemo started about 6 weeks after surgery. My care was at MSKCC and for me there was nothing new found during surgery. My hospital had me walking (slowly) the next day. Personally, I found the surgery easier on my body than the chemo. I had 12 rounds of Folfirinox. Best to you and mom. 💜 Happy to answer any questions you have. PS…I also sent you a private message.

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Profile picture for bunky2078 @bunky2078

@cazalia, I did have a laparoscopic distal. I was 52. Happy to answer any questions you have.

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@bunky2078 thank you for the follow up! Did you do chemo after or did you do it before surgery as well? My mom will do chemo after. We were at first wondering if she should have chemo first but she’s having surgery in less than 2 weeks after we found the initial tumor in her scan so we feel lucky we can do it so soon and if all goes well hopefully she will start chemo in 5-6 weeks.

did they find that your tumor was consistent with the scans or did they find anything new during surgery?

My mom is very active now but she does have a lung and heart condition so hoping this won’t put too much of a strain on her body but we will get her walking as soon as we can.

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@cazalia, I did have a laparoscopic distal. I was 52. Happy to answer any questions you have.

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Profile picture for bunky2078 @bunky2078

Hi Jennifer, here is the stuff that helped me:
*I was in the hospital for 5 days (one full day in surgery/ICU and then the next 4 in recovery). The first 24-36 hours were the most uncomfortable, but I did not have a pain pump.
* I was walking the next day.
* You will only eat liquids/soft foods for about 48 hours.
* Expect constipation after all the medicine the give you.
* Bring a warm blanket - I was freezing at night despite all the warm blankets they put on me.
* Bring a pillow for the ride home - the seat belt is painful.
* Since my husband stayed in a hotel nearby while I was in the hospital, we booked the hotel for an extra night once released so that after they discharged me I had another 24 hours near the hospital in case something went wrong.
* Have help at home for at least a week after getting home.
*I only ever took Tylenol once I got home.
* Since you have about a month, maybe work with a PT or trainer to strengthen your core/ab area. That will be much weaker after surgery so the stronger it is now, the better it will be during recovery.
* Plan to eat smaller meals at first. I was eating one hard boiled egg and a half piece of toast. Or one grilled chicken tender with a small amount of veggies. It gets better, but it just takes time. Even 18 months after surgery, I cannot overeat or I feel terrible. Also, watch for eating too much fat at one time (even healthy fats).

Good luck!

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@bunky2078 thanks for sharing your experience. Did you have laparoscopic surgery? My mom is going to get laparoscopic distal but is is 81 so concerned about her recovery

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Profile picture for marienewland @mnewland99

@gamaryanne good luck with surgery? Is it really needed? I was told about 1 year ago it was very small and it's presence hadn't been mentioned on any image reading since - which is odd to me. I skipped eliquist for 2 days or 4 pills at 5mg each. The Dr tried 2 cystoscopies about 2 werks apart. When he was unsuccessful in getting a biopsy? I went to city of Hope in Irvine. That urologist told me not to go off blood thinner begore surgery but I thought he was wrong based on former urologist and went off for 2 days. Well he was right. I went to. ER for trouble breathing and turned out I had 2 blood clots in my lungs where they thought it was a month old. Good luck to you!

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@mnewland99
Reading this about eliquis. A bit nervous now.
Yes, I do need the hernia fixed. It is quite a bulge on the left side

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@jenniferweirich1, you got some great responses from fellow members. I added your question to the Neuroendocrine Tumors (NETs) support group too. See it here: https://connect.mayoclinic.org/group/neuroendocrine-tumors-nets/

You might also appreciate these related discussions:
- Distal pancreatectomy scheduled at Mayo: Logistical questions https://connect.mayoclinic.org/discussion/distal-pancreatectomy-scheduled-421-questions/

- What's recovery after distal pancreatectomy and splenectomy like?https://connect.mayoclinic.org/discussion/recovery-after-distal-pancreatectomy-and-splenectomy/

After reading the tips from others, do you have any further questions?

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Had that surgery in April. Went well, although they kept me there for over a week before discharge. Took pain relievers and muscle relaxers for about a week after that. Guess that's normal for open incision. There is still some soreness with slight restrictions of movement, but nothing too bad.

I read that good fitness helped recovery so I tried to walk a lot before the surgery. Not so much in the days after...also you won't be lifting much for a while.

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Profile picture for reme51 @reme51

@midford
Was it adenocarcinoma? How big was it before being removed?
And are you saying you never had chemo before or after surgery? Are you able to eat normally now, or at least as you did before surgery? Sorry for all the questions but I'm at a crossroads for what I do next...(and I had my 1st grandson born 6 months before my diagnosis, almost 1 yr old now!) Jill

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@reme51
No. Mine was a non functioning Neuroendocrine tumour that was plugging up 1/2 my pancreas. So it was small but 1/2 my pancreas had withered away. Also blocking a major vein that needed patched as well. No treatment before as we choose surgery and surgeon left my treatment up to an endocrinologist and they said there is nothing left to treat as surgeon is confident he got it all. But still going to follow me (both of them) every 6 months with scans/blood for 5 years. My first scan was Sept. My A1C was already going high before so I learned a lot about diet/exercise and brought it down. I’m doing that again. Likely one day be Type 2 diabetic officially and have to do meds then. Just staving those off as long as possible. Please ask away. Happy to help. Just know it’ll be from my knowledge. None of us are doctors. I wish you well. Oh congrats on da baby!! So much fun! Hahaha. I had a very clear focus to my recovery. Probably helped somewhat.

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Profile picture for midford @midford

I had mine in his past April. My tumour was mid pancreas. So lost 1/2 my pancreas but it wasn’t working anyway. Chose to keep my spleen…. Bad choice should have let them take it. Had 4 vaccines because it was not happy, was trying not to do that. Oh well. Eating took a bit to see if the pancreatic enzymes were working well enough. Went in and out of that. Ended up not needing them. Lost some weight and gave up trying to gain it back. lol. Upside?! Needed new clothes. Haha. My tumour was completely removed with good margins. It spread to one out of 9 lymph nodes. Had zero symptoms before and still have none. No treatment either. Being monitored every 6 months with scans for 5 years. All the best. (I had a new granddaughter due/born a couple of months later so had huge motivation for my recovery).

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@midford
Was it adenocarcinoma? How big was it before being removed?
And are you saying you never had chemo before or after surgery? Are you able to eat normally now, or at least as you did before surgery? Sorry for all the questions but I'm at a crossroads for what I do next...(and I had my 1st grandson born 6 months before my diagnosis, almost 1 yr old now!) Jill

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I had mine in his past April. My tumour was mid pancreas. So lost 1/2 my pancreas but it wasn’t working anyway. Chose to keep my spleen…. Bad choice should have let them take it. Had 4 vaccines because it was not happy, was trying not to do that. Oh well. Eating took a bit to see if the pancreatic enzymes were working well enough. Went in and out of that. Ended up not needing them. Lost some weight and gave up trying to gain it back. lol. Upside?! Needed new clothes. Haha. My tumour was completely removed with good margins. It spread to one out of 9 lymph nodes. Had zero symptoms before and still have none. No treatment either. Being monitored every 6 months with scans for 5 years. All the best. (I had a new granddaughter due/born a couple of months later so had huge motivation for my recovery).

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