Abstract
Pancreatic serous cystadenomas are rare benign cystic neoplasms. Extended operations are unnecessary for serous cystadenomas and minimally invasive surgery should be performed. Laparoscopic pancreatic procedures are under evaluation. We present a case of a 79-year-old Greek woman with symptomatic cholelithiasis and a serous pancreatic cystadenoma located at the neck of the pancreas. In the occasion of a standard laparoscopic cholecystectomy the pancreatic mass was resected with a novel minimally invasive laparoscopic method preserving the integrity of the main pancreatic duct and the whole pancreas. Laparoscopic resection is a feasible, safe and effective treatment of benign pancreatic tumors, in experienced hands under proper indications.
Highlights
In the recent years, the advances in abdominal imaging techniques have resulted into an increasing frequency of pancreatic cystic neoplasms identification, which are considered to be rare
We present a case of a 79-year-old Greek woman with symptomatic cholelithiasis and a serous pancreatic cystadenoma located at the neck of the pancreas
In the occasion of a standard laparoscopic cholecystectomy the pancreatic mass was resected with a novel minimally invasive laparoscopic method preserving the integrity of the main pancreatic duct and the whole pancreas
Summary
The advances in abdominal imaging techniques have resulted into an increasing frequency of pancreatic cystic neoplasms identification, which are considered to be rare. Pancreatic serous cystadenomas belong to pancreatic cystic neoplasms and are considered to have benign biological and clinical features and course. Because it is difficult to establish a correct diagnosis of the benign nature of the lesion pre-operatively, some experts recommend resection of all pancreatic cystic neoplasms [4,5], whereas others propose a more selective approach recommending observation of the asymptomatic serous cystadenomas and resection of the large, symptomatic or indistinguishable from mucinous neoplams cases [6,7]. Laparoscopic pancreatic procedures, including the role of laparoscopic surgery in patients with cystic neoplasms of the pancreas, are under evaluation. Since it was difficult to conclude preoperatively whether the mass of interest corresponded to either a serous cystadenoma or a mucinous neoplasm or a cystadenocarcinoma we scheduled to perform a typical laparoscopic cholecystectomy in combination with laparoscopic evaluation of the mass in order to obtain a diagnosis and treatment if possible. There were not any late postoperative complications, while the patient remained asymptomatic and exhibited no sign of recurrence 6 months after the operation
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