Epidermoid cysts presenting within an intrapancreatic accessory spleen are rare non-neoplastic cysts typically occurring in the pancreatic tail. This entity is difficult to diagnose given there are many types of pancreatic neoplastic cysts. We herein describe two cases of an epidermoid cyst within an intrapancreatic accessory spleen for which we performed a resection by laparoscopic distal panc...

At-risk family members with familial pancreatic cancer (FCaP) face uncertainty regarding the individual risk of developing pancreatic cancer (CaP) and whether to choose serial screening or prophylactic pancreatectomy to avoid CaP. We treated 2 at-risk siblings with a history of FCaP, congenital hepatic fibrosis (CHF), and jaundice secondary to a bile duct stricture. In one, a pancreaticoduodena...

Background Pancreatic cancer represents a systemic disease, and its treatment ideally includes the administration of therapy regardless anatomical stage. Methods In this brief narrative review, most recent literature will be highlighted, together with updates, new perspectives on topic, authors own personal view. Results While preoperative has recently become standard for borderline resectable ...

We report a case of giant mucinous cystic neoplasm (MCN) of the pancreas that was successfully treated with laparoscopic surgery. A 29-year-old woman was admitted to our hospital for evaluation of an abdominal tumor that had been detected during a routine medical examination. The tumor was diagnosed as an MCN of the pancreas. We performed laparoscopic distal pancreatectomy and splenectomy. The ...

Zyromski N, et al. Splenic preserving distal pancreatectomy: does vessel preservation matter? J Am Coll Surg. 2001;212:651–7. 8. Song KB, Kim SC, Park JB, Kim YH, Jung YS, Kim MH, et al. Single center experience of laparoscopic left pancreatic resection in 359 consecutive patients: changing the surgical paradigm of left pancreatic resection. Surg Endosc. 2011;25:3364–72. 9. Adam JP, Jacquin A, ...

Two and half-year old Saudi boy was diagnosed with persistent hyperinsulinemic hypoglycemia of infancy (PHHI). He was initially managed with diazoxide and octreotide, however he was medical therapy unresponsive. Surgical intervention was recommended and he had laparoscopic subtotal pancreatectomy. This is the first reported Saudi case of PHHI who was managed surgically using the laparoscopic te...

Pancreatic cancer is a malignancy with overall poor prognosis. Surgery is the only treatment modality, which could provide cure. Therefore every effort possible should be made for pancreatectomy to achieve R0 resection. However, even after R0 resection, the survival outcomes are still far behind from other solid intrabdominal tumors. Extended lymphadenectomy and “mesopancreas” excision are the ...