Laparoscopic resection of an epidermoid cyst originating from an intrapancreatic accessory spleen: report of a case
| Autor: | Hideki Ishikawa, Osamu Itano, Naokazu Chiba, Yuji Yuasa, Takeyuki Wada, Hideo Matsui, Yuko Kitagawa, Yasumasa Koyama, Teiko Sato |
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| Rok vydání: | 2008 |
| Předmět: |
Laparoscopic surgery
Male medicine.medical_specialty medicine.medical_treatment Splenectomy Epidermal Cyst Spleen Accessory spleen Choristoma Malignancy Epigastric pain Pancreatectomy Weight Loss medicine Humans Laparoscopy Aged Splenic Diseases Ultrasonography medicine.diagnostic_test business.industry Pancreatic Diseases General Medicine Epidermoid cyst medicine.disease Surgery medicine.anatomical_structure business |
| Zdroj: | Surgery today. 40(1) |
| ISSN: | 1436-2813 |
| Popis: | A 67-year-old man underwent an investigation of epigastric pain and weight loss. Preoperative imaging findings suggested the presence of a tumor, which developed as an epidermoid cyst and originated from an intrapancreatic accessory spleen; however, the possibility of malignancy could not be ruled out. We therefore performed a laparoscopic-assisted distal pancreatectomy with a splenectomy for both diagnostic and treatment purposes. Five laparoscopic ports were created. After the spleen and pancreatic tail were dissected from the retroperitoneum laparoscopically, they were pulled out through a 7-cm left subcostal incision and resected with an endoscopic linear stapler. The operative time was 227 min and the blood loss was 400 ml. The postoperative course was uneventful. The final pathological diagnosis was in agreement with the preoperative diagnosis. This case demonstrates that the minimally invasive approach of laparoscopic surgery can be used safely and successfully for difficult-to-diagnose pancreatic tumors. This is the first report describing a laparoscopic resection of an epidermoid cyst originating from an intrapancreatic accessory spleen. |
| Databáze: | OpenAIRE |
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