腹腔鏡下脾温存膵体尾部切除術を施行した膵Solid-pseudopapillary tumorの1例

Abstract

A 27-year-old woman was admitted to our hospital because of urinary urgency. Abdominal US demonstrated a large tumor measuring 7cm in diameter, located in the body to tail of the pancreas. It was diagnosed as solid-pseudopapillary tumor by preoperative radiological examinations including CT, MRI and angiography. Laparoscopic distal pancreatectomy with preservation of the spleen was performed. Resected specimen was removed through a 9cm-lengthed lateral incision. The operation time was 354 minutes and blood loss was 345ml. Some complications occurred in the postoperative state, but use of analgesic medication was required once only. She was discharged on the 25th postoperative day. Laparoscopic procedure is less invasive than conventional open surgery, and has a cosmetic advantage. Distal pancreatectomy does not require the reconstruction of the gastro-intestinal tract ; this procedure can be recommended for benign or low grade malignant pancreatic disease.