Spleen-preserving laparoscopic distal pancreatectomy after division of the splenic vessels

Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a
Shuji ShimizuKoji Yamaguchi

Abstract

A 37-year-old woman with a history of syncope was hospitalized with a diagnosis of hypoglycemia due to insulinoma. Computed tomography (CT) and magnetic resonance imaging revealed an enhanced solid mass, 1.5 cm in diameter, at the tail of the pancreas. Angiography via the splenic artery revealed a hypervascular mass. Because the tumor was located deep in the pancreatic parenchyma, laparoscopic distal pancreatectomy was performed. The pancreas was exposed by dissecting the greater omentum, and the tumor was located by intraoperative ultrasonography. After division of the splenic artery, the pancreas, main pancreatic duct, and splenic vein were transected with an endoscopic linear stapler. The pancreatic pedicle was divided at the splenic hilum to preserve the spleen. The postoperative course was uneventful except for the appearance of splenic infarction on a CT scan 2 weeks after surgery but without any overt symptoms. Spleen-preserving laparoscopic distal pancreatectomy by division of splenic vessels is a feasible treatment option for benign pancreatic disease.

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Citations

Feb 19, 2009·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Ying LuoZhi-Qiang Huang
Oct 4, 2011·Frontiers of Medicine·Taiping ZhangYupei Zhao
Oct 3, 2007·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Charles HonoreMichel Meurisse
Jun 4, 2010·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Mohamed Y F AlyMasao Tanaka
Oct 20, 2012·World Journal of Gastroenterology : WJG·Maurizio IacoboneDonato Nitti
May 28, 2014·International Journal of Surgery·Antonio SciutoFrancesco Corcione
Oct 13, 2012·Hepatobiliary & Pancreatic Diseases International : HBPD INT·Yu-Pei ZhaoGe Chen
Jan 3, 2016·The Surgeon : Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland·Stefano PartelliMassimo Falconi
Apr 28, 2007·Surgery·J Rubén RodríguezCarlos Fernández-del Castillo
Mar 7, 2006·Journal of Clinical Anesthesia·Frederic J GergesSamar I Jabbour-Khoury
Aug 4, 2005·The Surgeon : Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland·A Cuschieri
Jun 27, 2007·Surgery Today·Kyoichi Takaori, Nobuhiko Tanigawa
Feb 25, 2006·The British Journal of Surgery·O N TuckerK C Conlon

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