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ISSN 1665-2576 (Print)

2007, Number 4

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Rev Mex Cir Endoscop 2007; 8 (4)

Laparoscopic derivation of giant pancreatic cyst

Vela SI, Moreno PM, Rojano RM, Robles AJ, López MS, Soto SB, González MLE, López GA

Language: Spanish
References: 11
Page: 199-204
PDF size: 184.16 Kb.


ABSTRACT

Objective: To present the case of a giant benign pancreatic cyst treated with endoscopic surgery performing a cystogastrostomy. Case description with medical history, imaging studies, description of the surgical technique and findings with photos.
Case report: A 19 years old female who presented with abdominal pain over the last two months associated with vomiting and weight loss. At physical examination a palpable mass of 10 x 10 cm was found. Abdominal tomography showed a 12 x 10 cm mass. Endoscopy was performed showing an extrinsic compression in antrum up to the second portion of the duodenum. The endoscopic retrograde colangiopancreatograhy ruled out any biliary tract abnormality. Laboratory exams including tumor markers were in normal range.
Material and methods: A diagnostic laparoscopic was performed showing a 13 x 14 cm mass form the head of the pancreas. It was dissected and drained. Fluid analysis was obtained as well as transoperatory biopsy which reported serous cistadenoma. A cystogastrostomy with stapler was performed.
Conclusion: The patient was discharge 6 days after surgery.


REFERENCES

  1. Castro PR, Ampudia LM, Dopico RE, Delgado JF. Neoplasias quísticas del páncreas. Presentación de 2 casos y revisión de la literatura. Rev Cubana Cir 2001; 40(1): 51-5.

  2. Jiménez MF, Tolosa I, De Blas A, García SJ. Tumores quísticos pancreáticos y lesiones pseudotumorales. An Sis Sanit Navar 2003; 26(2): 243-50.

  3. Brugge WR. Should all pancreatic cystic lesions be resected? Cyst-fluid analysis in the differential diagnosis of pancreatic cystic lesions: a meta-analysis. Gastrointest Endosc 2005; 62(3): 390-1.

  4. Klöpel G, Solcia E, Longnecker DS, Capella C, Sobin LH. Histological typing of tumors of the exocrine pancreas. 1996; Springer, Berlin Heidelberg New York.

  5. Khalid A, Finkelstein S, McGrath K. Molecular diagnosis of solid and cystic lesions of the pancreas. Clin Lab Med 2005; 25(1): 101-16.

  6. Nemes R, Curca T, Paraliov T, Munteanu M, Pasalega M, Dinca N. Cystic tumors of the pancreas. Considerations upon 34 operated cases. Rom J Gastroenterol 2002; 11: 303-8.

  7. Gan SI, Thompson C, Lauwers G. Ethanol lavage of pancreatic cystic lesions: initial pilot study. Gastrointest Endosc 2005; 61(6): 746-52.

  8. Compagno J, Oertal JE. Mucinous cystic neoplasms of the pancreas with overt and latent malignancy (cystadenocarcinoma and cystadenoma). Am J Clin Pathol 1978; 69: 573-80.

  9. Compagno J, Oertal JE. Microcystic adenomas of the pancreas (glycogen-rich cystadenomas). Am J Clin Pathol 1978; 69: 289-98.

  10. Brugge WR, Lewandrowski K, Leewandrowski E, Centeno BA, Szydlo T, Regan A. Diagnosis of pancreatic cystic neoplasm: a report of the cooperative pancreatic cyst study. Gastroenterology 2004; 126: 1330-6.

  11. Brugge WR, Lauwers GY, Sahani D. Cystic neoplasm of the pancreas. N Engl J Med 2004; 351: 1218-26.




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