Case Report
Copyright ©The Author(s) 2015. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Jun 14, 2015; 21(22): 7047-7051
Published online Jun 14, 2015. doi: 10.3748/wjg.v21.i22.7047
Laparoscopic fenestration of pancreatic serous cystadenoma: Minimally invasive approach for symptomatic benign disease
Safi Dokmak, Béatrice Aussilhou, Fanjandrainy Rasoaherinomenjanahary, Alain Sauvanet, Marie-Pierre Vullierme, Vinciane Rebours, Philippe Lévy
Safi Dokmak, Béatrice Aussilhou, Fanjandrainy Rasoaherinomenjanahary, Alain Sauvanet, Department of HPB Surgery and Liver Transplantation, Beaujon Hospital, 92210 Clichy, France
Marie-Pierre Vullierme, Department of Radiology, Beaujon Hospital, 92210 Clichy, France
Vinciane Rebours, Philippe Lévy, Department of Gastroenterology, Beaujon Hospital, 92210 Clichy, France
Author contributions: Dokmak S, Aussilhou B, and Lévy P designed and performed the research, contributed new reagents and analytic tools, analyzed the data, and wrote the paper; Rasoaherinomenjanahary F designed the research, contributed new reagents and analytic tools, analyzed data, and wrote the paper; Sauvanet A designed and performed the research, contributed new reagents and analytic tools, and analyzed the data; Vullierme MP and Rebours V designed the research, contributed new reagents and analytic tools, and analyzed the data.
Informed consent: All study participants, or their legal guardian, provided written informed consent prior to study enrollment.
Conflict-of-interest: All authors of this study declare no conflict-of-interest.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Safi Dokmak, MD, Department of HPB Surgery and Liver Transplantation, Beaujon Hospital, 92210 Clichy, France. safi.dokmak@bjn.aphp.fr
Telephone: +33-1-40875795 Fax: +33-1-40870926
Received: August 18, 2014
Peer-review started: August 20, 2014
First decision: November 14, 2014
Revised: December 29, 2014
Accepted: February 5, 2015
Article in press: February 5, 2015
Published online: June 14, 2015
Core Tip

Core tip: Although surgical resection is the classical modality for treating symptomatic serous cystadenoma (SC), laparoscopic fenestration for large macrocystic SC was not yet described in the literature. In this study, 3 female patients underwent laparoscopic fenestration of symptomatic macrocystic SC. Conversion was needed in one patient for bile duct injury, while another patient developed a grade A pancreatic fistula. Histology confirmed the diagnosis in all patients and, after a follow-up of 13-26 mo, all patients are asymptomatic. Radiological evaluation showed complete disappearance of SC. This mini-invasive approach avoids the high mortality and morbidity encountered with pancreatic resection.