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DOI: 10.1055/s-0044-1798135
ROBOTIC DISTAL PANCREATECTOMY WITH SPLEEN PRESERVATION
Male patient, 40 years old, previously healthy, reports abdominal pain for 1 year, with no other associated complaints. Magnetic nuclear resonance identifies a solid-cystic lesion in the pancreas tail, 3.8 cm on the longest axis, communicating with the main pancreatic duct, associated with parenchymal atrophy and Wirsung duct dilatation. Suspicious image for Intraductal papillary mucinous neoplasm (IPMN). Patient with ASA II anesthetic risk, without previous abdominal surgery, normal physical examination. Tumor markers such as CA 19.9 and CEA were normal. There weren t changes on pancreatic enzymes. We performed a robotic distal pancreatectomy with spleen preservation. Uneventful procedure, no postoperative surgical complications, discharged on the 4th postoperative day. Definitive pathology confirming the diagnosis of intraductal mucinous neoplasia, 3.2 cm in the longest axis, with high-grade dysplasia. Free surgical margins, without lymph node involvement. Final clinical staging: pTispN0.
No conflict of interest has been declared by the author(s).
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Publication History
Article published online:
23 October 2019
© 2019. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)
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Tomás Ramos Velloso Coelho, Raphael Leonardo da Cunha Araujo, Marleny Novaes Figueiredo, Pedro Chiaramelli, Paulo Henrique Domingues Miranda Brandão, Carlos Maeda. ROBOTIC DISTAL PANCREATECTOMY WITH SPLEEN PRESERVATION. Brazilian Journal of Oncology 2019; 15.
DOI: 10.1055/s-0044-1798135