2008 Annual Meeting Abstracts

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Background: Laparoscopic distal pancreatectomy has been used for tumors of the pancreatic body/tail. Tumors overlying or adjacent to the SMV/PV junction have been traditionally resected using open surgery.Method: 5 patients with tumors between 1-5cm overlying/adjacent to the SMV/PV confluence were laparoscopically resected by extending resection to the right of the vessels.Result: All had R0 resection and margins were to the right of the SMV/PV confluence. Splenic vessels were ligated at their origin. Oncologic vascular control was completed prior to pancreatic transection.Conclusion: Tumors of the pancreatic neck can be laparoscopically resected with no change in morbidity or mortality.

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