Epithelial cyst arising in an intrapancreatic accessory spleen: a case report of robotic surgery and review of minimally invasive treatment

BMC Surgery

Satoru Takahashi¹  Hiroyuki Kato¹  Shuji Takiguchi²  Ken Tsuboi²  Kan Omi²  Hiroyuki Imafuji²  Mamoru Morimoto²  Goro Ueda²  Ryo Ogawa²  Hiroki Takahashi²  Yuichi Hayashi²  Yoshinaga Aoyama²  Yoichi Matsuo²  Tomokatsu Kato²  Kenta Saito²  Michihiro Yoshida³  Itaru Naitoh³  Kazuki Hayashi³ 

[1] Department of Experimental Pathology and Tumor Biology, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan;Department of Gastroenterological Surgery, Nagoya City University Graduate School of Medical Sciences, Kawasumi 1, Mizuho-cho, Mizuho-ku, 4678601, Nagoya, Japan;Department of Gastroenterology and Metabolism, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan;

关键词: Epithelial cyst in an intrapancreatic accessory spleen (ECIPAS);    Minimally invasive surgery;    Robot-assisted surgery;   

DOI  :  10.1186/s12893-020-00927-0

来源: Springer

【 摘 要 】

BackgroundAn epithelial cyst in an intrapancreatic accessory spleen (ECIPAS) is rare. We report a case of ECIPAS that was treated with robot-assisted distal pancreatectomy with splenectomy.Case presentationThe case was a 59-year-old woman who was referred to our hospital after a pancreatic tail tumor was found on computed tomography prior to surgery for small bowel obstruction at another hospital. A cystic lesion in the pancreatic tail was discovered and evaluated by magnetic resonance imaging and endoscopic ultrasonography. Based on clinical and radiological features, mucinous cystic neoplasm was included in the differential diagnosis. The patient underwent robot-assisted distal pancreatectomy with splenectomy. The postoperative course was uneventful. Pathological evaluation revealed a 20-mm ECIPAS in the pancreatic tail.ConclusionsIf a pancreatic tail tumor is present, ECIPAS should be included in the differential diagnosis. However, preoperative diagnosis is difficult, and a definitive diagnosis is often not obtained until after surgery. Surgery should be minimally invasive. Laparoscopic distal pancreatectomy has become a standard surgical procedure because it is minimally invasive. Robot-assisted surgery is not only minimally invasive, but also advantageous, because it has a stereoscopic magnifying effect and allows the forceps to move smoothly. Robot-assisted distal pancreatectomy may be a good option, when performing surgery for a pancreatic tail tumor.

【 授权许可】

CC BY