LAPAROSCOPIC DISTAL RESECTION OF THE PANCREAS FOR MUCINOUS CYSTADENOCARCINOMA WITH A DIAMETER OF 15 CM

Abstract

Introduction: Мucinous carcinomas are aggressive malignant tumors of the pancreas. They rarely reach sizes larger than 4-5 cm. Demonstration of a clinical case of performing distal pancreatic resection in a patient with mucinous adenocarcinoma. A special feature of the case is the size of the tumor up to 15 cm.

Materials and Methods: patient N., 35 years old, was admitted to the surgical Department for planned surgical treatment in December 2019. He was diagnosed with a neoplasm of the tail of the pancreas

Results: The patient underwent a planned operation-laparoscopic distal resection of the pancreas. Intraoperatively, the tail of the pancreas is represented by a neoplasm up to 15 cm in diameter, of a dense consistency, soldered to the surrounding tissues. The pathohistological conclusion was consistent with
mucinous cystadenocarcinoma.

Discussion: There is relatively little information in the literature about mucin-producing carcinomas of this size and methods of their laparoscopic removal. Such cases require further study.

Conclusion: In the presence of mucinous cystadenocarcinoma of the tail of the pancreas with a diameter of 15 cm, laparoscopic distal resection of the pancreas is technically feasible, which made it possible to perform a radical operation, speed up the patient’s rehabilitation despite the volume of the operating injury. The current development of laparoscopic surgery has not exhausted its potential and requires improvement in new sections of surgery, including in interventions on the pancreas.