Laparoscopic distal pancreatectomy: A Sri Lankan experience

Abstract

The surgery was performed under general anaesthesia with the patient in the right lateral position. Five ports were used including the camera port. The positions of ports are shown in figure 2. No abnormality was evident in the peritoneal cavity. The stomach was lifted up using an instrument through the epigastric port. The gastrocolic omentum was divided. A pancreatic mass, involving the tail and compressing the splenic hilum was noted. The pancreas was retracted caudally; the splenic artery was dissected on its upper border and divided between clips. The splenocolic attachments were divided. The spleen was mobilised from its attachments to the diaphragm. The pancreas was lifted up and the splenic vein was identified and divided between clips. The pancreas was transected through the body using an ultrasonic dissector. The specimen was placed into a refashioned uribag and retrieved via a 5 cm mini incision

Laparoscopic Resection of Pancreatic Tail Solid Pseudopapillary Tumour in a Young Male

“…This report and few other studies have shown that laparoscopic approach is safe and oncologically adequate [ 10 , 11 ]. We have published the first laparoscopic distal pancreatectomy in Sri Lanka in 2013 for a Solid Pseudopapillary Tumour in a young female [ 12 ].…”