Feasibility of laparoscopic distal spleno-pancreatectomy following previous necrosectomy. A case report

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.