laparoscopic spleen preserving distal pancreatectomy in pseudopapilar Neoplasms of pancreas.
INTRODUCTION: Pseudopapillar epithelial tumors of the pancreas are infrequent, with an incidence of 1-2%. They occur especially in young women between 30 to 40 years. They are asymptomatic and are usually diagnosed as an incidental finding. They are located in the body and tail of the pancreas. Radical resection is the treatment of choice, although it is a tumor of low malignant potential, which is determined by the size and the mitotic index and may have relapsed into a 6.2%.
MAIN: to describe the advantages of the minimally invasive surgery in pancreatic pathology with spleen preservation.
MATERIAL AND METHOD: Case 36 years old female patient with hipertension and diabetes mellitus in treatment with hypoglicemic drugs, with BMI of 37 in process of bariatric, during the evaluation for a Sleeve gastrectomy perform an abdominal CT SCAN that shows a solid lesion in the tail of the pancreas of 2 X 3 cm without any other additional finding. Endosonography and puncture indicating a pseudopapilar epithelial cels into the lesion, Endoscopy without lesion. CA 19-9 negative. the patient was evaluated for Gastrointestinal Minimally invasive Surgery and scheduele for laparoscopic distal pancreatectomy with spleen preservation.
CONCLUSION: laparoscopic pancreatic surgery requires advanced training. The percentage of fistula secondary to pancreatic resection may be 30% . the preservation of the spleen in this type of procedures requires a careful dissection of the vessels. the benefits of laparoscopic surgery are clear: rapid recovery, less pain and safe surgery for cancer.