A CASE OF LAPAROSCOPIC ASSISTED DISTAL PANCREATECTOMY FOR A MACROCYSTIC SEROUS CYSTOADENOMA

Abstract

A 48-year-old woman who underwent laparoscopic mastectomy for right breast cancer was admitted to for further examination of a cystic lesion in the pancreas. Abdominal ultrasonography revealed cystic lesions 5-10 mm in diameter in the pancreas tail. CT showed oligolocular lesions with calcification. Endoscopic retrograde cholangiopancreatography demonstrated a compression and slight dilation of the main pancreatic duct in the region of the pancreas tail. No communication between the main pancreatic duct and cyst was recognized. The preoperative diagnosis was mucinous cyst tumor. We performed laparoscopic assisted distal pancreatectomy and splenectomy. The patient was rotated laterally 45 degrees so that the left side was up. The distal pancreas and spleen were mobilized under laparoscopic procedure. A 7 cm incision was made on the upper abdomen and the lymph nodes dissected. The distal pancreas and spleen were extracted through this incision and the distal pancreas was resected.
Histopathological findings revealed macrocystic serous cystoadenoma.