Spleen Preserving Splenic Vessels Spearing Pure Laparoscopic Total Duodenopancreatectomy for Intraductal Papillary Mucinous Pancreatic Neoplasia (IPMN): Case Report and Technique
Adrian Bartoş, Patricia Pleşa-Furda, Raluca Stoian, Lidia Ciobanu, Dana Iancu, Cornel Iancu, Caius BreazuSurgical Techniques, no. 4, 2022
Article DOI: 10.21614/chirurgia.2758
Total duodenopancreatectomy (TDP), performed exclusively by laparoscopic approach is considered one of the most complex abdominal surgical procedures. TDP with preservation of spleen vessels (operation Kimura) is a more technically-demanding procedure, but is beneficial in selected cases. While some high-volume centers have gained experience in minimally-invasive pancreatectomies, laparoscopic approach remains a recommendation for well selected patients with benign or low-grade malignant tumors and should be performed with caution, by experienced HPB surgeons.
In this paper, we present a spleen preserving, splenic vessels spearing, pure laparoscopic TDP on a 40-year-old patient diagnosed with diffuse IPMN performed in our center, illustrating the operative steps.
In this paper, we present a spleen preserving, splenic vessels spearing, pure laparoscopic TDP on a 40-year-old patient diagnosed with diffuse IPMN performed in our center, illustrating the operative steps.
Keywords: laparoscopic total pancreatectomy, intraductal papillary mucinous pancreatic neoplasia, spleen preserving pancreatectomy, splenic vessels spearing
