Laparoscopic Distal Pancreatosplenectomy with a Gastric Wedge Resection for Recurred Ovarian Cancer

Abstract

Introduction:

Hand-assisted laparoscopic splenectomy for isolated splenic metastasis was reported in several studies. ^1,2 However, the role of complete laparoscopic surgery is still controversy in gynecologic malignancy. ³ Some studies reported only their experiences in primary and second debulking surgery. For maximal cytoreductive surgery of metastatic disease, collaborative surgical treatment has been emphasized for complete resection. ⁴ In this article, we presented complete laparoscopic treatment of isolated prepancreatic metastatic nodule by laparoscopic distal pancreatosplenectomy with gastric wedge resection. Runtime of video was 6 minutes 9 seconds.

Materials and Methods:

In this report, the authors report their experience on complete laparoscopic treatment for isolated prepancreatic metastatic nodule in a 37-year-old woman who underwent staging laparotomy and was found to have stage IV ovarian cancer.

Results:

The metastatic nodule was found 14 months later after primary surgery. She underwent complete laparoscopic distal pancreatosplenectomy with gastric wedge resection. She was uneventfully recovered and discharged at postoperative 6 days. She has had follow-up for about 2 years after surgery without evidence of tumor recurrence.

Discussion:

In pancreatic cancer, laparoscopic distal pancreatectomy has showed similar oncologic outcomes to open distal pancreatectomy. ⁵ However, though the role of complete laparoscopic surgery is debate in gynecologic malignancy, complete laparoscopic surgery for selective patients may achieve safe oncologic outcomes and chance to early start postoperative treatment. Furthermore, patients may gain laparoscopic advantages such as a smaller incision, less blood loss, less analgesic use, decreased morbidity, and more rapid recovery. ^1,6,7

All authors have nothing to disclose. No competing financial interests exist.

Runtime of video: 6 mins 9 secs