Laparoscopic Splen-pancreatectomy, for Mucinous Pancreatic-cyst

BACKGROUND: Among pancreatic cysts, mucinous cystadenoma, and intraductal papillary mucinous neoplasms have the potential for malignant transformation. Differentiation between benign and potentially malignant cysts remains difficult at the preoperative time. Majority of these tumors must be resected and the laparoscopic approach is nowadays a valid option.

OBJECTIVE of this presentation was to show in a video the laparoscopic excision of a multiple pancreatic mucinous cyst. In this was necessary the simultaneous splenectomy.
METHODS: A 54 years-old female was diagnosed for Pancreatic mucinous Cyst by CTA, NMR, PET Scan and Tumor Markers. Using four trocars the spleen and pancreatic Cysts were successfully removed. Pancreatic section was carried out using stapler. Both splenic artery and vein, were occluded by ligature and clips.
RESULTS: The operating room time was 4 hours, transfusion of 500Ml of Red Cells was necessary. Hospital stay was 5 days. Pathologic study informed Adenocarcinoma mucinous of the pancreas.
CONCLUSIONS: Simultaneous resection of pancreas and spleen is possible by Laparoscopy as many authors have reported.
On the other hand, neither laboratory exams nor Imagines were able to confirm the malignant condition of the tumor at the preoperative time.

Session: Podium Video Presentation

Program Number: V045

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