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Laparoscopic distal pancreatectomy for intraductal papillary mucinous neoplasm (IPMN)

P Pessaux, MD, PhD E Felli, MD T Wakabayashi, MD D Mutter, MD, PhD, FACS J Marescaux, MD, FACS, Hon FRCS, Hon FJSES, Hon FASA, Hon APSA
Epublication WebSurg.com, Mar 2019;19(03). URL: http://websurg.com/doi/vd01en5505

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  • 2019-03-14
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This is the case of a 76-year-old female patient who was referred to our hospital because of intraductal papillary mucinous neoplasm (IPMN). The patient has a medical history of renal insufficiency, sleep apnea syndrome, type 2 diabetes mellitus (T2DM), and hypertension. She has also a history of previous total hysterectomy. MRI findings showed that the patient’s IPMN affected secondary pancreatic ducts entirely. The main pancreatic duct is dilated, especially in the distal part at 6mm, but there are no remarkable findings of cystic wall thickening or intracystic nodules. A laparoscopic distal pancreatectomy was planned. The postoperative course was uneventful and the patient was discharged on postoperative day 8. Pathological findings showed that the intraductal papillary mucinous neoplasm was without any malignant component.