title: Single incision laparoscopic pancreas resection for pancreatic metastasis of renal cell carcinoma.
abstract: BACKGROUND
  Transumbilical single incision laparoscopic surgery (SILS) offers excellent cosmetic results and may be associated with decreased postoperative pain, reduced need for analgesia, and thus accelerated recovery. Herein, we report the first transumbilical single incision laparoscopic pancreatectomy case in a patient who had renal cell cancer metastasis on her pancreatic corpus and tail.
  
  
  METHODS
  A 59-year-old female who had metastatic lesions on her pancreas underwent laparoscopic subtotal pancreatectomy through a 2-cm umbilical incision.
  
  
  RESULTS
  Single incision pancreatectomy was performed with a special port (SILS port) and articulated equipment. The procedure lasted 330 minutes. Estimated blood loss was 100mL. No perioperative complications occurred. The patient was discharged on the seventh postoperative day with a low-volume (20mL/day) pancreatic fistula that ceased spontaneously. Pathology result of the specimen was renal cell cancer metastases.
  
  
  CONCLUSIONS
  This is the first reported SILS pancreatectomy case, demonstrating that even advanced surgical procedures can be performed using the SILS technique in well-experienced centers. Transumbilical single incision laparoscopic pancreatectomy is feasible and can be performed safely in experienced centers. SILS may improve cosmetic results and allow accelerated recovery for patients even with malignancy requiring advanced laparoscopic interventions.
authors: Istanbul University, Department of General Surgery, Istanbul, Turkey. umutbarbaros@yahoo.com
authors: Umut
authors: U
authors: Barbaros
authors: Aziz
authors: A
authors: Sümer
authors: Tugrul
authors: T
authors: Demirel
authors: Nazlı
authors: N
authors: Karakullukçu
authors: Burçin
authors: B
authors: Batman
authors: Yalın
authors: Y
authors: Içscan
authors: Gülay
authors: G
authors: Sarıçam
authors: Kürçsat
authors: K
authors: Serin
authors: Wei-Liang
authors: WL
authors: Loh
authors: Ahmet
authors: A
authors: Dinççağ
authors: Selçuk
authors: S
authors: Mercan
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