Single-access laparoscopic subtotal spleno-pancreatectomy for pancreatic adenocarcinoma

Abstract

Laparoscopic distal or subtotal pancreatectomy can be performed safely and effectively unless there is a clear reason why not to do so. With the aim of reducing postoperative trauma and improving the cosmesis, single-access laparoscopic surgery has been introduced into daily practice. We report the first case of distal single-access laparoscopic pancreasectomy for an adenocarcinoma. The procedure was carried out in 170 minutes without postoperative complications. Despite some technical difficulties, we think that a single-access laparoscopic approach could be adequate for a pancreatic resection. However, an adequate analysis of cost-effectiveness as well as regarding the reproducibility should be carried out.

Key words::

• Laparo-endoscopic single-site surgery
• single incision
• pancreas
• resection

Acknowledgment

The authors thank Albert Coward for his precious contribution in reviewing the article English language.

Declaration of interest: The authors report no conflicts of interest. The authors alone are responsible for the content and writing of the paper.