A Case of Spleen-Preserving Laparoscopic Distal Pancreatectomy and Concomitant Cholecystectomy in Male Patient with Solid Pseudopapillary Neoplasm of the Pancreas and Gallstone

Abstract

Solid pseudopapillary neoplasm is a rare pathologic condition in the pancreas. The origin of this tumor and characteristic biologic behavior are still under investigation. With the advances of laparoscopic surgery, laparoscopic pancreatic surgery has been accepted as a feasible, safe procedure. Especially, laparoscopic distal pancreatectomy is regarded as an appropriate treatment option for benign or borderline malignant pancreatic lesions. In addition, the frequency of spleen-preserving laparoscopic distal pancreatectomy has been increasing owing to embossing the value of the spleen in terms of its immunologic aspects. In this paper, we present a case of a 39-year-old male patient with solid pseudopapillary with (SPN) and a gallstone who successfully underwent laparoscopic distal pancreatectomy with preservation of the spleen, as well as a simultaneous cholecystectomy for the gallstone. To our knowledge, this case may be the first report of the spleen preserving distal pancreatectomy in an adult male patient with SPN.

Solid Pseudopapillary Neoplasm of the Pancreas

“…The laparoscopic surgery is also an option to the SPN and depends on the lesion location in the pancreatic parenchyma, tumor size and experience of the surgical team. The safety is the same as the open surgery, in addition to offering better surgical field, less pain after surgery and faster recovery of the patient 7 , 13 , 14 . Cavallini et al demonstrated the efficacy of laparoscopy in 10 cases.…”

Minimally invasive (laparoscopic and robot‐assisted) approach for solid pseudopapillary tumor of the distal pancreas: a single‐center experience

“…Although SPT is a rare pancreatic lesion with a benign and low‐grade malignant nature, it is well known to predominantly affect young women aged 25–35 years. In addition, considering that the most common location of this tumor is the tail of the pancreas , a minimally invasive approach is thought to be more appropriate than an open approach for managing SPT of the distal pancreas [9, 10] because laparoscopic distal pancreatectomy has been accepted as a safe and effective treatment modality to manage benign and borderline malignant tumors of the pancreas [11, 12].…”

Laparoscopic pancreatobiliar surgery: Initial experience in high specialty regional hospital

“…Subsequently, staging and partial resections for benign and malignant diseases began with Bernheim, Cuschieri, Ishida, and Meyer Burg until, in 1994, the first laparoscopic pancreaticoduodenectomy was performed in a woman with chronic pancreatitis 1,3 . Since then, laparoscopic surgery has evolved in such a way that there are practically no contraindications or limitations regarding the type of pathologies that can be resolved with this technique 13,14 . The results obtained with this type of procedure have been reported, and the vast majority agree that the minimally invasive technique in pancreaticobiliary surgery is highly effective 15,16 , and specially for distal pancreatic resections with or without splenic preservation, it is gaining great strength, and in numerous studies, it is the first option for diseases within this region of the pancreas [17][18][19][20][21] .…”