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Laparoscopic distal pancreatosplenectomy for isolated blunt traumatic pancreatic laceration: A case report and review of current literature
Ann Hepatobiliary Pancreat Surg 2019 Nov;23(4):408-13
Published online November 30, 2019;  https://doi.org/10.14701/ahbps.2019.23.4.408
Copyright © 2019 Korean Association of Hepato-Biliary-Pancreatic Surgery.

Ken Min Chin1, Ye-Xin Koh1, and Brian K. P. Goh1,2

1Department of Hepatopancreatobiliary and Transplant Surgery, Singapore General Hospital, 2Duke-National University of Singapore (NUS) Medical School, Singapore
Received December 26, 2018; Revised July 20, 2019; Accepted July 25, 2019.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
 Abstract
Pancreatic injuries are often associated with trauma and occur most commonly in combination with other solid organ injuries. Management strategies for pancreatic injuries include conservative, endoscopic, percutaneous and surgical intervention. Literature on the laparoscopic approach to management of pancreatic trauma is rare and poorly reviewed. We describe a case report of successful and uncomplicated laparoscopic distal pancreatosplenectomy (LDP) for a patient suffering from isolated traumatic pancreatic tail transection. A literature review was performed with regards to the indications for intervention and different modalities of treatment for traumatic pancreatic lacerations. A review and comparison was also made between the scarce pre-existing reports of the laparoscopic approach to pancreatic resection in the setting of trauma. The laparoscopic approach to pancreatic resection, in the setting of trauma, can be considered as a viable alternative to open surgery. Moving forward, further studies with larger patient numbers will be needed to compare the outcomes between the open and laparoscopic approach.
Keywords : Pancreas; Wounds and injuries; Laparoscopy; Pancreatectomy

 

November 2019, 23 (4)