• Skip to main content
  • Skip to header right navigation
  • Skip to site footer

Log in
  • Search
    • Search All SAGES Content
    • Search SAGES Guidelines
    • Search the Video Library
    • Search the Image Library
    • Search the Abstracts Archive
www.sages.org

SAGES

Reimagining surgical care for a healthier world

  • Home
    • Search
    • SAGES Home
    • SAGES Foundation Home
  • About
    • Awards
    • Who Is SAGES?
    • Leadership
    • Our Mission
    • Advocacy
    • Committees
      • SAGES Board of Governors
      • Officers and Representatives of the Society
      • Committee Chairs and Co-Chairs
      • Committee Rosters
      • SAGES Past Presidents
  • Meetings
    • SAGES NBT Innovation Weekend
    • SAGES Annual Meeting
      • 2026 Scientific Session Call for Abstracts
      • 2026 Emerging Technology Call for Abstracts
    • CME Claim Form
    • SAGES Past, Present, Future, and Related Meeting Information
    • SAGES Related Meetings & Events Calendar
  • Join SAGES!
    • Membership Application
    • Membership Benefits
    • Membership Types
      • Requirements and Applications for Active Membership in SAGES
      • Requirements and Applications for Affiliate Membership in SAGES
      • Requirements and Applications for Associate Active Membership in SAGES
      • Requirements and Applications for Candidate Membership in SAGES
      • Requirements and Applications for International Membership in SAGES
      • Requirements for Medical Student Membership
    • Member Spotlight
    • Give the Gift of SAGES Membership
  • Patients
    • Join the SAGES Patient Partner Network (PPN)
    • Patient Information Brochures
    • Healthy Sooner – Patient Information for Minimally Invasive Surgery
    • Choosing Wisely – An Initiative of the ABIM Foundation
    • All in the Recovery: Colorectal Cancer Alliance
    • Find A SAGES Surgeon
  • Publications
    • Clinical / Practice / Training Guidelines, Statements, and Standards of Practice
    • Sustainability in Surgical Practice
    • SAGES Stories Podcast
    • Patient Information Brochures
    • Patient Information From SAGES
    • TAVAC – Technology and Value Assessments
    • Surgical Endoscopy and Other Journal Information
    • SAGES Manuals
    • MesSAGES – The SAGES Newsletter
    • COVID-19 Archive
    • Troubleshooting Guides
  • Education
    • Wellness Resources – You Are Not Alone
    • Avoid Opiates After Surgery
    • SAGES Subscription Catalog
    • SAGES TV: Home of SAGES Surgical Videos
    • The SAGES Safe Cholecystectomy Program
    • Masters Program
    • Resident and Fellow Opportunities
      • MIS Fellows Course
      • SAGES Robotics Residents and Fellows Courses
      • SAGES Free Resident Webinar Series
      • Fluorescence-Guided Surgery Course for Fellows
      • Fellows’ Career Development Course
    • SAGES S.M.A.R.T. Enhanced Recovery Program
    • SAGES @ Cine-Med Products
      • SAGES Top 21 Minimally Invasive Procedures Every Practicing Surgeon Should Know
      • SAGES Pearls Step-by-Step
      • SAGES Flexible Endoscopy 101
    • SAGES OR SAFETY Video Activity
  • Opportunities
    • Fellowship Recognition Opportunities
    • SAGES Advanced Flexible Endoscopy Area of Concentrated Training (ACT) SEAL
    • Multi-Society Foregut Fellowship Certification
    • Research Opportunities
    • FLS
    • FES
    • FUSE
    • Jobs Board
    • SAGES Go Global: Global Affairs and Humanitarian Efforts
  • OWLS/FLS
You are here: Home / Abstracts / Laparoscopic distal pancreatectomy with splenectomy and left adrenalectomy

Laparoscopic distal pancreatectomy with splenectomy and left adrenalectomy

S Velmurugan, HOD of GI and Lap Surgery, R Villalan, B Kasi Viswanath, R Archana. kauvery hospital, Trichy, India

62 years female presented with left upper quadrant pain, back pain and postprandial fullness of 4 months duration. She had past medical history of Diabetes and Hypertension. Her abdominal examination was unremarkable. Her CT scan showed a 6 cm sized cystic lesion in the tail of pancreas close to splenic hilum. There was no associated lymphadenopathy. In addition, the CT showed a 2.5 cm sized adenoma in left adrenal gland.

She had an EUS guided FNAC from the cystic lesion. It was suggestive of mucinous lesion. Her endocrine work up showed that the adrenal adenoma was a non secreting lesion.

After informed consent, laparoscopic distal pancreatectomy with splenectomy and left adrenalectomy was performed.

Surgical procedure : One 10-12 mm port , one 10 mm port and two 5 mm ports used. Gastrocolic omentum divided with harmonic and lesser sac entered. Short gastric vessels divided. Inferior and superior border of pancreas defined.  Retro- pancreatic tunnel created at distal body of pancreas medial to the lesion. As splenic vessels were going through the lesion, proceeded for splenectomy en bloc.  Splenic artery and splenic vein ligated and clipped (hemolock) individually and divided. Pancreas divided with stapler using green cartridge at distal body leaving adequate margin from the lesion. Distal pancreatectomy with splenectomy done. Left adrenal identified and dissected.  Left adrenal vein clipped and divided. Left adrenalectomy done.  Stapled pancreatic end underrun with 2-0 PDS continuous suture. Drain kept. Specimen retrieved using a bag through pfannensteil incision.

Post operatively she had an uneventful recovery. She was discharged on the 6th post operative day. Her histology confirmed mucinous cystadenoma arising from the tail of pancreas and the adrenal lesion was a non functioning adenoma. 


Presented at the SAGES 2017 Annual Meeting in Houston, TX.

Abstract ID: 95903

Program Number: V379

Presentation Session: Video Loop Day 4

Presentation Type: VideoLoop

326

Share this:

  • Click to share on X (Opens in new window) X
  • Click to share on Facebook (Opens in new window) Facebook
  • Click to share on LinkedIn (Opens in new window) LinkedIn
  • Click to share on Pinterest (Opens in new window) Pinterest
  • Click to share on WhatsApp (Opens in new window) WhatsApp
  • Click to share on Reddit (Opens in new window) Reddit
  • Click to share on Pocket (Opens in new window) Pocket
  • Click to share on Mastodon (Opens in new window) Mastodon
  • Click to share on Threads (Opens in new window) Threads
  • Click to share on Bluesky (Opens in new window) Bluesky

Related


sages_adbutler_leaderboard

Hours & Info

11300 West Olympic Blvd, Suite 600
Los Angeles, CA 90064

1-310-437-0544

[email protected]

Monday – Friday
8am to 5pm Pacific Time

Find Us Around the Web!

  • Bluesky
  • X
  • Instagram
  • Facebook
  • YouTube

Copyright © 2025 · SAGES · All Rights Reserved

Important Links

Healthy Sooner: Patient Information

SAGES Guidelines, Statements, & Standards of Practice

SAGES Manuals