Combined laparoscopic spleen-preserving distal pancreatectomy and islet autotransplantation for benign pancreatic neoplasm

Figure 1 Abdominal computed tomography scan. A: Abdominal computed tomography (CT) scan showing a 4 cm pancreatic cystic lesion of the neck in patient 1; B: Abdominal CT scan showing a 10 cm pancreatic cystic lesion of the body in patient 2; C: Abdominal magnetic resonance imaging showing a 4.6 cm cystic lesion of the neck in patient 3. Arrows mark the cystic lesion (A-C).

Figure 2 Specimen after distal pancreatic resection. A: An arrow marks the cystic lesion; the interrupted line marks the site of transection; B: Transection of the pancreas distal from the lesion; C: Spared pancreatic parenchyma.

Figure 3 Fasting C-peptide (A) and fasting glycemia (B) remained stable and comparable with respect to pretransplant value, respectively. The values are expressed as mean plus the standard error of the mean. Preop: Preoperative value; Preinfu: C-peptide value after resection and before islet re-infusion; POD: Post operative day.