Intraoperative complications are rare with standardized surgical techniques.
Vascular injuries
Treatment: Suture
Bile duct injury
Management: Suture, T-drain if necessary
Pancreatic injury
Treatment: Suture and extensive drainage
Splenic injury
Management: Hemostasis with argon beamer, tissue sealing, e.g., with TachoSil® sealant matrix
As last resort: Splenectomy
Caution: If splenectomy must be performed in partial gastric resection, the blood supply of the gastric remnant is endangered because the short gastric arteries will have been transected. Gastrectomy then becomes mandatory!