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Laparoscopic Removal of Tumor of the Pancreas Together with the Spleen


Removing a tumor of the pancreas together with the spleen laparoscopically “through punctures” was a fantasy until recently. Still, now it is a reality in the Department of Transplantation and Surgery of the Abdominal Cavity at the Heart Institute.

Treatment of oncological diseases of the pancreas requires a multidisciplinary approach, high surgical skills, and a highly specialized medical team.
56-year-old Mrs. Olena applied to the Department of Transplantation and Surgery of the Abdominal Cavity of the Heart Institute with complaints of constant abdominal pain.

A thorough examination of the patient was conducted.  CT of the chest, abdominal organs, and pelvic organs showed changes in the tail of the pancreas are characteristic of the neoplastic process. There is an invasion of the splenic vein and right kidney cyst (Bosniak II).
Diagnosis: Pancreatic tail cancer cT3NxMo, st IIA. Cyst of the right kidney, large (Bosniak II).

After a multidisciplinary oncological conference, a laparoscopic anterior radical antegrade modular pancreatsplenectomy (RAMPS), fenestration of the right kidney cyst was performed.

The postoperative course was uneventful, and the patient was discharged for outpatient treatment.

The team of the Heart Institute:
Yuriy Bakunets, Roman Samokishchuk, Mykola Kondratyuk.

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