Laparoscopic Distal Pancreatectomy with Takedown of Cystojejunostomy

Abstract

Abstract Introduction: This video presents the case of a laparoscopic distal pancreatectomy and cytojejunostomy takedown. Although this patient had three prior open surgeries, one of which was an unknown pancreatic surgery believed to be a cyst drainage procedure, she could be approached with minimally invasive techniques.1 Case Report: The patient is a 54-year-old woman with a surgical history of open cholecystectomy due to recurrent gallstone pancreatitis and then cystojejunostomy for pseudocyst 19 years ago. Of note, before the surgery presented in this video, she did not know what procedure she had undergone and operative records could not be obtained from her old institution. Upon surveillance, she was found to have a 4-cm cystic mass in the tail of her pancreas. Computed tomography (CT) scan with contrast revealed a complex 4-cm cystic structure surrounded by the splenic vessels with close proximity to the splenic hilum. An endoscopic retrograde cholangiopancreatography with stent placement was perf...