Feasibility of laparoscopic distal spleno-pancreatectomy following previous necrosectomy. A case report
Related Experiment Video
Updated: Jul 2, 2026
Laparoscopic Posterior Radical Antegrade Modular Pancreatosplenectomy for Distal Pancreatic Carcinoma
Published on: December 29, 2023
Anil K Hemandas1, Gaurav Jain, Farina Fong
1Hepatobiliary-Pancreatic and Laparoscopic Surgical Unit, Southampton University Hospital, Southampton, United Kingdom.
Context:
In recent years, laparoscopic approach to distal pancreatectomy has been increasingly favoured following several reports showing reductions in morbidity and hospital stay compared with open surgery. Previous major abdominal surgery is a relative contraindication for most laparoscopic procedures including distal pancreatectomy.
Case Report:
We present a case of a young woman in whom we attempted and accomplished safely, a laparoscopic distal pancreatectomy despite having had major pancreatic necrosectomy and discuss the feasibility of this approach.
Conclusion:
It is possible to perform complex laparoscopic pancreatic resections safely in centres with special interest and expertise.