Journal of Minimal Access Surgery

UNUSUAL CASE
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Year : 2019  |  Volume : 15  |  Issue : 3  |  Page : 249--252

Laparoscopic splenic vessels and spleen-preserving extended distal pancreatectomy for single metastatic renal cell carcinoma

Christophe Roger Berney 
 Department of Surgery, Bankstown-Lidcombe Hospital, University of New South Wales, Bankstown, NSW, Australia

Correspondence Address:
Christophe Roger Berney
Department of Surgery, Bankstown-Lidcombe Hospital, University of New South Wales, Eldridge Road, Bankstown NSW 2200
Australia

Laparoscopic splenic vessels and spleen-preserving (SVSP) distal pancreatectomy has been recommended to reduce long-term risk of developing infectious complications. Due to its technical challenge, most cases relate to <50% of the pancreatic gland being excised. We present our first case of a patient incidentally found to have a solitary pancreatic metastatic renal cell carcinoma (RCC), following left nephrectomy for kidney cancer 15 years ago. He underwent laparoscopic SVSP-extended distal pancreatectomy (EDP). Final histopathology confirmed the diagnosis and margins were clear. He made a good recovery and despite loosing >70% of his pancreas, hasn't developed new-onset diabetes. No adjuvant chemotherapy was necessary, but he will require long-term follow-up. This case suggests that even when the pancreatic lesion is located more proximally, near or at the pancreatic neck, laparoscopic SVSP-EDP may still be considered a safe and preferable option despite its greater complexity, increased intraoperative bleeding risk and longer operative time.


How to cite this article:
Berney CR. Laparoscopic splenic vessels and spleen-preserving extended distal pancreatectomy for single metastatic renal cell carcinoma.J Min Access Surg 2019;15:249-252


How to cite this URL:
Berney CR. Laparoscopic splenic vessels and spleen-preserving extended distal pancreatectomy for single metastatic renal cell carcinoma. J Min Access Surg [serial online] 2019 [cited 2020 Aug 10 ];15:249-252
Available from: http://www.journalofmas.com/article.asp?issn=0972-9941;year=2019;volume=15;issue=3;spage=249;epage=252;aulast=Berney;type=0