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Japanese

A case of laparoscopic distal pancreatectomy for cystic pancreatic tumor after cystojejunostomy Kyoko HISANO 1 , Yasuhisa MORI 1 , Takao OHTSUKA 1 , Kohei NAKATA 1 , Yoshinao ODA 2 , Masafumi NAKAMURA 1 1Department of Surgery and Oncology, Graduate School of Medical Sciences, Kyushu University 2Department of Anatomic Pathology, Graduate School of Medical Sciences, Kyushu University Keyword: 膵粘液性囊胞腫瘍 , 腹腔鏡下膵体尾部切除術 , 肥満 pp.265-271
Published Date 2018/3/15
DOI https://doi.org/10.11477/mf.4426200542
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We herein present a 30-year-old obese female diagnosed as having mucinous cystic neoplasm of the pancreas (MCN). The tumor had been treated by open cystojejunostomy at another hospital under a provisional diagnosis of pancreatic pseudocyst due to high amylase level of the fluid content collected from the tumor during the operation. Three years after the operation, abdominal pain recurred and enlargement of the cystic lesions was noted. The patient was then referred to our hospital for further treatment. Preoperative diagnosis was MCN and laparoscopic distal pancreatectomy with combined resection of cystojejunostomy was performed. Pathological examination of the resected specimen revealed MCN with low grade dysplasia. This case suggests that MCN should not be excluded even when the cyst fluid amylase levels is high, and laparoscopic surgery can be safely performed by adequate surgical techniques even for obese patient with a history of laparotomy.


Copyright © 2018, JAPAN SOCIETY FOR ENDOSCOPIC SURGERY All rights reserved.

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電子版ISSN 2186-6643 印刷版ISSN 1344-6703 日本内視鏡外科学会

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