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Laparoscopic total pancreatectomy in a challenging case—-technique and tips

Xin Wang. West China Hospital, Sichuan University

This is a 67 years old male, presenting with epigastric pain for over three years. Lab tests indicate significantly elevated oral glucose tolerance and blood glucose. ALT and AST are slightly elevated. CA19-9 is 38.2 U/ml. CT scan shows an enlarged pancreas with dilated duct, indicating chronic pancreatitis. Endoscopic ultrasound guided FNA found atypical cells in pancreatic head and pancreatic body. Therefore, pancreatic cancer is suspicious. Laparoscopic total pancreatectomy with splenectomy is performed in this patient. Intraoperative frozen section biopsy indicates chronic pancreatitis with focal PanIN-3. Pathology confirmed the diagnosis of pancreatic cancer with diffused PanIN-3. Finally, this patient is discharged uneventfully 10 days after surgery. 


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

Abstract ID: 93461

Program Number: V128

Presentation Session: Solid Organ Videos

Presentation Type: Video

42

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