2008, Number 3
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ABSTRACTObjective: To present the resection of the body and tail of the pancreas with splenic preservation by means of laparoscopy in a female patient coursing with an epithelial retention cyst.
Setting: Third level health care hospital.
Design: Case presentation.
Case report: Woman, 41-year-old, without antecedents, with a 6-month history of postprandial colic-type pain in the epigastrium and left iliac fossa, of moderate intensity, which exacerbated in the last 15 days. Pain is accompanied by abdominal distension, flatulence, liquid stools without mucus or blood, normal vital signs, painful, soft abdomen, depressible, with pain at mid-palpation in the epigastrium and left iliac fossa, without data of peritoneal irritation or visceral-megaly, peristalsis was present. Antigen 19.9 laboratory studies revealed a 40.4 ng/ml value, Abdominal tomography revealed the presence of a redundant colon and simple, unilocular, serous pancreatic cyst of 34 mm in diameter, located in the body of the pancreas. Resection of the body and tail of the pancreas with spleen preservation was performed by means of laparoscopy, dissecting the splenic vein and artery, sectioning the pancreas with a lineal 6.0-3.5 stapler, and placing a drainage, no complications occurred. Surgery lasted 225 min, bleeding amounted to 100 ml. Histology reported a real solitary pancreatic cyst, compatible with epithelial retention. The patient had a satisfactory evolution.
Conclusion: Distal laparoscopic pancreatectomy is a safe and efficacious technique used for benign tumors, with early recovery and better cosmetic results. Preservation of the spleen and its vessels is the most important aspect of the procedure.
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