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JOP. 2008 Sep 2;9(5):644-8.

Feasibility of laparoscopic distal spleno-pancreatectomy following previous necrosectomy. A case report.

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  • 1Hepatobiliary-Pancreatic and Laparoscopic Surgical Unit, Southampton University Hospital, Southampton, United Kingdom.

Abstract

CONTEXT:

In recent years, laparoscopic approach to distal pancreatectomy has been increasingly favoured following several reports showing reductions in morbidity and hospital stay compared with open surgery. Previous major abdominal surgery is a relative contraindication for most laparoscopic procedures including distal pancreatectomy.

CASE REPORT:

We present a case of a young woman in whom we attempted and accomplished safely, a laparoscopic distal pancreatectomy despite having had major pancreatic necrosectomy and discuss the feasibility of this approach.

CONCLUSION:

It is possible to perform complex laparoscopic pancreatic resections safely in centres with special interest and expertise.

PMID:
18762697
[PubMed - indexed for MEDLINE]
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