Aluka Kanayochukwu J, Long Cynthia, Rickford Marc S, Turner Patricia L, McKenna Stephen J, Fullum Terrence M
Department of Surgery, Providence Hospital, Washington, District of Columbia, USA.
Surg Innov. 2006 Jun;13(2):94-101. doi: 10.1177/1553350606291339.
A minimally invasive approach can be beneficial in a spleen-preserving distal pancreatectomy. This article reports a 71-year-old woman who presented to her internist with hypertension and persistent hypokalemia. A computed tomography scan to rule out a functional adrenal mass incidentally revealed a 4 cm x 3 cm x 2 cm serous cystadenoma of the distal pancreas and normal adrenal glands. The patient was referred to the general surgery service for resection of the distal pancreatic lesion. A laparoscopic spleen-preserving distal pancreatectomy was performed. The lesion was completely excised, and the pathology revealed serous cystadenoma with focal fibrosis and atrophic acini. The postoperative advantages of this approach were the early return of bowel function, minimal narcotic requirements, and early resumption of normal activities. This case illustrates the advantages of minimally invasive surgery in the performance of a spleen-preserving distal pancreatectomy.
微创方法在保留脾脏的远端胰腺切除术中可能有益。本文报道了一名71岁女性，她因高血压和持续性低钾血症就诊于内科医生。为排除功能性肾上腺肿块而进行的计算机断层扫描偶然发现远端胰腺有一个4 cm×3 cm×2 cm的浆液性囊腺瘤，肾上腺正常。患者被转诊至普通外科进行远端胰腺病变切除。实施了腹腔镜保留脾脏的远端胰腺切除术。病变被完全切除，病理显示为伴有局灶性纤维化和萎缩性腺泡的浆液性囊腺瘤。该方法的术后优势包括肠功能早期恢复、对麻醉剂需求极少以及能早期恢复正常活动。本病例说明了微创手术在实施保留脾脏的远端胰腺切除术中的优势。
