Publication:

Distal pancreatectomy with preserved spleen for benign serous cystadenoma of the pancreas

Pancreatic serous cystadenoma is a benign tumor of the pancreas that can be effectively managed using the Kimura surgical technique. This method involves resecting the distal portion of the pancreas while preserving the spleen and its associated vessels. The aim of this study was to evaluate the application of the Kimura technique in two different surgical approaches—laparotomy and laparoscopy—for the treatment of pancreatic serous cystadenomas. Specifically, the study assessed the feasibility, surgical outcomes, and postoperative prognosis associated with each approach. A case review was conducted involving two patients who underwent surgery at the Department of Organ and Tissue Transplantation, Plastic, and Endocrine Surgery at Grodno Clinical Hospital. The study focused on distal pancreatectomy and its surgical variants, paying special attention to the patients' clinical presentations, symptoms, and imaging findings (CT and MRI). Both patients had uneventful postoperative recoveries without complications such as pancreatic fistula, gastric stasis, or splenic infarction. The findings suggest that the Kimura technique is a safe and effective method for managing benign serous cystadenomas of the pancreas. Favorable outcomes with both surgical approaches highlight the importance of a patient-specific strategy, taking into account factors such as lesion size, anatomical location, splenic vessel involvement, and the surgeon’s expertise to optimize surgical results. Furthermore, spleen preservation using the Kimura technique helps maintain immune function and reduces the risk of postoperative complications, including severe infections and splenic infarction.