Laparoscopic resection of an epidermoid cyst originating from an intrapancreatic accessory spleen: Report of a case

Osamu Itano, Naokazu Chiba, Takeyuki Wada, Yuji Yuasa, Teiko Sato, Hideki Ishikawa, Yasumasa Koyama, Hideo Matsui, Yuko Kitagawa

Research output: Contribution to journalArticlepeer-review

25 Citations (Scopus)

Abstract

A 67-year-old man underwent an investigation of epigastric pain and weight loss. Preoperative imaging findings suggested the presence of a tumor, which developed as an epidermoid cyst and originated from an intrapancreatic accessory spleen; however, the possibility of malignancy could not be ruled out. We therefore performed a laparoscopic-assisted distal pancreatectomy with a splenectomy for both diagnostic and treatment purposes. Five laparoscopic ports were created. After the spleen and pancreatic tail were dissected from the retroperitoneum laparoscopically, they were pulled out through a 7-cm left subcostal incision and resected with an endoscopic linear stapler. The operative time was 227 min and the blood loss was 400 ml. The postoperative course was uneventful. The final pathological diagnosis was in agreement with the preoperative diagnosis. This case demonstrates that the minimally invasive approach of laparoscopic surgery can be used safely and successfully for difficult-to-diagnose pancreatic tumors. This is the first report describing a laparoscopic resection of an epidermoid cyst originating from an intrapancreatic accessory spleen.

Original languageEnglish
Pages (from-to)72-75
Number of pages4
JournalSurgery today
Volume40
Issue number1
DOIs
Publication statusPublished - 2010 Jan 1

Keywords

  • Epidermoid cyst
  • Epithelial inclusion cyst
  • Intrapancreatic accessory spleen
  • Laparoscopic resection
  • Pancreatic cyst

ASJC Scopus subject areas

  • Surgery

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