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Successful laparoscopic distal pancreatectomy for a large solid pseudopapillary neoplasm: A case report
Author(s) -
Tada Seiichiro,
Iida Taku,
Anazawa Takayuki,
Yagi Shintaro,
Seo Satoru,
Masui Toshihiko,
Kaido Toshimi,
Takaori Kyoichi,
Uemoto Shinji
Publication year - 2017
Publication title -
asian journal of endoscopic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.372
H-Index - 18
eISSN - 1758-5910
pISSN - 1758-5902
DOI - 10.1111/ases.12360
Subject(s) - medicine , distal pancreatectomy , splenic artery , pancreatectomy , surgery , pancreas , splenectomy , radiology , blood loss , pancreatic tumor , resection , pancreatic cancer , cancer , spleen
A 30‐year‐old Japanese woman presented at our hospital with a pancreatic tumor. Contrast‐enhanced CT revealed a tumor with a 12‐cm diameter in the pancreatic body and tail. In the preoperative setting, endoscopic ultrasound‐guided fine‐needle aspiration permitted a histopathological diagnosis of solid pseudopapillary neoplasm. Twhe patient underwent laparoscopic distal pancreatectomy with splenectomy. Our procedure involved three steps. Firstly, the splenic artery was occluded to block inflow of blood to the tumor. Then, we transected the neck of the pancreas using radical antegrade modular pancreatosplenectomy. Finally, hand‐assisted laparoscopic surgery allowed us to secure the operating field and easily handle the large tumor. This enabled us to accomplish laparoscopic distal pancreatectomy, and en‐bloc resection was completed. The patient was discharged without major complications. Laparoscopic distal pancreatectomy for huge solid pancreatic tumors can be completed safely.