A Case of Spleen-Preserving Laparoscopic Distal Pancreatectomy and Concomitant Cholecystectomy in Male Patient with Solid Pseudopapillary Neoplasm of the Pancreas and Gallstone

Abstract

Solid pseudopapillary neoplasm is a rare pathologic condition in the pancreas. The origin of this tumor and characteristic biologic behavior are still under investigation. With the advances of laparoscopic surgery, laparoscopic pancreatic surgery has been accepted as a feasible, safe procedure. Especially, laparoscopic distal pancreatectomy is regarded as an appropriate treatment option for benign or borderline malignant pancreatic lesions. In addition, the frequency of spleen-preserving laparoscopic distal pancreatectomy has been increasing owing to embossing the value of the spleen in terms of its immunologic aspects. In this paper, we present a case of a 39-year-old male patient with solid pseudopapillary with (SPN) and a gallstone who successfully underwent laparoscopic distal pancreatectomy with preservation of the spleen, as well as a simultaneous cholecystectomy for the gallstone. To our knowledge, this case may be the first report of the spleen preserving distal pancreatectomy in an adult male patient with SPN.