Laparoscopic distal pancreatectomy of mucinous cystadenoma with many collateral vessels

Abstract

The patient was a 40-year-old woman. A cystic tumor, measuring 6cm in the tail of pancreas was found by computed tomography (CT). Magnetic Resonance Image (MRI) revealed that the tumor was low signal intensity in T1-weighted MR images, and high intensity in T2-weighted MR images. Angiography revealed the hepatopetal collateral vessel because the splenic vein was occluded by this tumor. Our diagnosis was mucinous cystadenoma of the pancreas. Laparoscopic distal pancreatectomy was performed. We performed laparoscopic distal pancreatectomy in more than 20 patients with pancreatic body-tail disease. We could perform this procedure safely in spite of many collateral vessels.