title: Feasibility of laparoscopic distal spleno-pancreatectomy following previous necrosectomy. A case report.
abstract: BACKGROUND
  In recent years, laparoscopic approach to distal pancreatectomy has been increasingly favoured following several reports showing reductions in morbidity and hospital stay compared with open surgery. Previous major abdominal surgery is a relative contraindication for most laparoscopic procedures including distal pancreatectomy.
  
  
  METHODS
  We present a case of a young woman in whom we attempted and accomplished safely, a laparoscopic distal pancreatectomy despite having had major pancreatic necrosectomy and discuss the feasibility of this approach.
  
  
  CONCLUSIONS
  It is possible to perform complex laparoscopic pancreatic resections safely in centres with special interest and expertise.
authors.affiliation: Hepatobiliary-Pancreatic and Laparoscopic Surgical Unit, Southampton University Hospital, Southampton, United Kingdom.
authors.forename: Anil K
authors.initials: AK
authors.lastname: Hemandas
authors.forename: Gaurav
authors.initials: G
authors.lastname: Jain
authors.forename: Farina
authors.initials: F
authors.lastname: Fong
authors.forename: Brian
authors.initials: B
authors.lastname: Stedman
authors.forename: Eleanor
authors.initials: E
authors.lastname: Jaynes
authors.forename: Mohammad
authors.initials: M
authors.lastname: Abu Hilal