Laparoscopic distal pancreatectomy

A case report

Ta Sen Yeh, Yi Yin Jan, Jui-Hsiang Tang, Miin Fu Chen

Research output: Contribution to journalArticle

Abstract

Laparoscopic pancreatectomy is a newly emerging surgical technology. We herein report a case of solid and papillary tumor of the pancreas successfully treated with laparoscopic distal pancreatectomy with spleen preservation. A 17-year-old female presented with a palpable epigastric mass. The preoperative diagnosis was an organized hematoma or solid and papillary tumor of the pancreas. The patient was put in the supine position under general anesthesia and pneumoperitoneum was established. The gastrocolic ligament was divided using the ultrasonically activated scalpel to enter into the lesser sac. The pancreatic lesion localized by laparoscopic ultrasonography was a solid mass. The splenic artery and the splenic vein were detached from the pancreas intact. The pancreatic neck was transected using an endo-GIA 30. The pancreatic tail was detached from the splenic hilum by electrocautery dissection. The surgical specimen was put into an endo-bag and removed from the peritoneal cavity via a 4 cm left flank wound. Prophylactic octreotide was given subcutaneously. The patient's bowel movement returned on post op. day 3 and oral intake started on post op. day 4. The patient was not discharged until post op. day 8 because of a minor wound infection. The pathology diagnosis was solid and papillary tumor of the pancreas.

Original languageEnglish
Pages (from-to)253-256
Number of pages4
JournalFormosan Journal of Surgery
Volume35
Issue number5
Publication statusPublished - Jan 1 2002
Externally publishedYes

Fingerprint

Pancreatectomy
Pancreas
Peritoneal Cavity
Splenic Vein
Splenic Artery
Neoplasms
Pneumoperitoneum
Electrocoagulation
Octreotide
Supine Position
Wound Infection
Ligaments
Hematoma
General Anesthesia
Dissection
Ultrasonography
Spleen
Pathology
Technology
Wounds and Injuries

Keywords

  • Laparoscopic distal pancreatectomy
  • Solid and papillary tumor of the pancreas

ASJC Scopus subject areas

  • Surgery

Cite this

Yeh, T. S., Jan, Y. Y., Tang, J-H., & Chen, M. F. (2002). Laparoscopic distal pancreatectomy: A case report. Formosan Journal of Surgery, 35(5), 253-256.

Laparoscopic distal pancreatectomy : A case report. / Yeh, Ta Sen; Jan, Yi Yin; Tang, Jui-Hsiang; Chen, Miin Fu.

In: Formosan Journal of Surgery, Vol. 35, No. 5, 01.01.2002, p. 253-256.

Research output: Contribution to journalArticle

Yeh, TS, Jan, YY, Tang, J-H & Chen, MF 2002, 'Laparoscopic distal pancreatectomy: A case report', Formosan Journal of Surgery, vol. 35, no. 5, pp. 253-256.
Yeh, Ta Sen ; Jan, Yi Yin ; Tang, Jui-Hsiang ; Chen, Miin Fu. / Laparoscopic distal pancreatectomy : A case report. In: Formosan Journal of Surgery. 2002 ; Vol. 35, No. 5. pp. 253-256.
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