Article Abstract

Laparoscopic spleen retains the body and tail of the pancreas resection

Authors: Zhijian Zheng, Yihua Shi, Tianfu Wen, Deshuang Xiao, Honggen Xu, Qiang Wang, David H. Tian, Lingbo Dai


Pancreatic serous cystic neoplasm (SCN) is a benign tumor of the pancreas, about two-thirds situated in the tail of the pancreas. The small sized ones usually require only routine follow-ups, and is advised for surgical treatment when clinical symptoms, and mass growth are occurring rapidly, and the traditional treatment is splenectomy. Here, we have finished a laparoscopy resection of the spleen-preserving pancreatic body. A 46-year-old female presents for a follow-up after a physical examination found a tumor mass in the body and tail of the pancreas two years ago. After the tumor had become fast-growing and appeared to have other clinical symptoms, a final laparoscopy surgery was performed to retain the spleen of the pancreas. After the treatment, and a smooth recovery, the patient had been discharged. Spleen preserving laparoscopy, with distal pancreatectomy, in the treatment of benign tumors of the pancreatic body and tail, not only can reflect a minimally invasive treatment of postoperative pain, it provides a light and quick recovery advantage. The preservation of the spleen to avoid the long-term anticoagulation treatment, and the technology being relatively easily available, did not significantly increase the incidence of postoperative complications. It is worth using the clinic.