Laparoscopic central pancreatectomy with gastro-pancreatic anastomosis for symptomatic serous cystadenoma: A case report and literature review

• DOI: 10.1016/j.lers.2024.04.005
• Publication Date: 2024-04-23T01:53:12Z
• Authors: Giuseppe Frazzetta; Antonino Picciurro; Angela Maffongelli; Irene Vitale; Francesco Vitale; Daniela Scimeca; Michele Amata; Anna Calì; Ambra Bonaccorso; Barbara Scrivo; Vincenzo Di Martino; Elisabetta Conte; Filippo Mocciaro; Roberto Di Mitri; Pierenrico Marchesa
• Keywords: 03 medical and health sciences; Laparoscopic; Central pancreatectomy; 0302 clinical medicine; RD1-811; Pancreatic surgery; Cystadenoma; Surgery

Surgery for lesions of the proximal part of the pancreatic body or neck can be challenging, and when enucleation is not possible, central pancreatectomy is an option. Laparoscopic central pancreatic resection is rarely described worldwide; it is considered a difficult procedure mainly because of the risk of double pancreatic fistula developing at two sites of resection. However, it seems to be an excellent alternative to distal pancreatectomy or pancreaticoduodenectomy, with the advantages of preserving functioning parenchyma and reducing endocrine and exocrine failure. Nevertheless, patients with pancreatic lesions requiring central resection are often managed with the open approach in many hospitals due to the complexity of total laparoscopic central pancreatectomy, which requires advanced laparoscopic skills, expertise and experience. Here, we report a case of a 29-year-old female who underwent total laparoscopic central pancreatic resection with gastro-pancreatic anastomosis for symptomatic serous cystadenoma. We discuss the details of case management and review the relevant literature.