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Spleen Preserving Laparoscopic Distal Pancreatectomy for a Solid Pseudopapillary Tumor in a Male Patient. (This Video Demonstrates Technical Details of a Rare Tumor of the Pancreas in a Male Patient. Only Few Cases Have Been Reported in Males)
Bestoun H. Ahmed*, Reginald L. Griffin, Ziad Awad, Carmine Volpe, Michael S. Nussbaum Surgery, University of Florida College of Medicine/ Jacksonville, Jacksonville, FL
A 31-y-old patient had a blunt abdominal trauma. CT scan showed an incidental tumor in the body of the pancreas. EUS-guided cytology was Solid pseudopapillary tumor. Patient in right semi-lateral position. Division of gastrocolic omentum. Release of splenic flexure of the colon. Transection of the body of the pancreas after separating splenic vessels. Separation of the pancreas from the vessels. Extraction of the specimen in a pouch. Operative time: 170 minutes. Blood loss: 50 ml. Tolerated food on day 2. Discharged on day 4. Pathology: 6x5 cm tumor like FNA result with clear margins .In conclusion: Laparoscopic spleen preserving approach is feasible in the management of this tumor
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