Spleen Preserving Laparoscopic Distal Pancreatectomy for a Solid Pseudopapillary Tumor

Contributors:  Bestoun Ahmed

Spleen preservation is advisable if feasible during distal pancreatectomy for benign pancreatic tumors. A 31 year old patient had a blunt abdominal injury. Computed Tomography (CT) scan showed an incidental tumor in the body of the pancreas. EUS-guided cytology revealed a solid pseudopapillary tumor with benign features.This video demonstrates the technical details during a minimally invasive excision of a rare tumor of the pancreas in a male patient. Very few cases have been reported in males.

Editor Recruited By: Jeffrey B. Matthews, MD

DOI: http://dx.doi.org/10.17797/cc7ot3ymd8

Laparoscopic Transgastric Pancreatic Necrosectomy and Cystgastrostomy

Contributors: Michael Nussbaum

Pancreatic necrosectomy is a necessary operation for necrotizing pancreatitis. The traditional open approach has been associated with difficult access and significant negative outcomes including wound complications, pancreatic fistula and prolonged hospital stay. A 57-y-old female patient presented with mild abdominal pain and epigastric fullness.She had a history of multiple episodes of acute pancreatitis and pseudocyst formation. Abdominal computed tomography (CT )scan showed a large pseudocyst of 12×15 cm size compressing the posterior wall of the stomach. Following cystgastrostomy, a large amount of necrotic pancreatic tissue is found and so necrosectomty step was added to the operation.This video demonstrates the technical details during a minimally invasive necrosectomy of the pancreas with an expedited recovery. 

DOI: http://dx.doi.org/10.17797/1ms9xzjz24

Editor Recruited By: Jeffrey B. Matthews, MD

CME Feedback

Your 30-second teaser has ended. Log in or sign up to watch the full video.

Please sign up using the button below to get
full access to CSurgeries

You have gained maximum
CME credits this year.

Your CME credits will reset next year. You can still continue to watch our videos.​

Newsletter Signup

"*" indicates required fields

Name*