title: Laparoscopic distal pancreatectomy for solid pseudopapillary neoplasm of the pancreas-report of two cases.
abstract: Solid pseudopapillary neoplasm of the pancreas is a rare pathologic entity. Although the role of laparoscopy in surgery of the pancreas is still controversial, the feasibility and safety of laparoscopic distal pancreatectomy has been reported with good results. We present two cases of laparoscopic distal pancreatectomy in female patients of incidentally found pancreatic solid pseudopapapillary neoplasm, with review of disease and technical aspect. They underwent laparoscopic distal pancreatectomy with and without preservation of splenic vessels and spleen respectively. We used four trocars with the patients' posture in strict right lateral decubitus. The operating time was 180 and 240 minutes respectively. There were no critical postoperative complications. The postoperative hospital stay was 10 and 7 days respectively. This minimal invasive surgery can be safely applied to benign or low-grade malignant tumor of the pancreas especially in young and female patients.
authors.affiliation: Department of Surgery, Yonsei University, College of Medicine, Seoul, Korea. cmkang@yumc.yonsei.ac.kr
authors.forename: Chang Moo
authors.initials: CM
authors.lastname: Kang
authors.forename: Ho Geun
authors.initials: HG
authors.lastname: Kim
authors.forename: Kyung Sik
authors.initials: KS
authors.lastname: Kim
authors.forename: Jin Sub
authors.initials: JS
authors.lastname: Choi
authors.forename: Woo Jung
authors.initials: WJ
authors.lastname: Lee
authors.forename: Byong Ro
authors.initials: BR
authors.lastname: Kim
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008279:Magnetic Resonance Imaging; D010180:Pancreatectomy / Q000379:methods*; D010190:Pancreatic Neoplasms / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D013156:Splenectomy; D016896:Treatment Outcome