Laparoscopic Spleen-Preserving Distal Pancreatectomy Followed by Intramuscular Autologous Islet Transplantation for Traumatic Pancreatic Transection in a Young Adult

Sabrina Dardenne; Adrien Sterkers; Christophe Leroy; Laurent Da Mata; Philippe Zerbib; François René Pruvot; François Pattou; Stéphanie Truant

doi:10.6092/1590-8577/634

Sabrina Dardenne Department of Digestive Surgery and Transplantation, CHU, Univ Nord de France. Lille, France
Adrien Sterkers Department of Endocrine Surgery, CHU, Univ Nord de France. Lille, France
Christophe Leroy Department of Medical Imaging, CHU, Univ Nord de France. Lille, France
Laurent Da Mata Department of Anesthesiology, CHU, Univ Nord de France. Lille, France
Philippe Zerbib Department of Digestive Surgery and Transplantation, CHU, Univ Nord de France. Lille, France
François René Pruvot Department of Digestive Surgery and Transplantation, CHU, Univ Nord de France. Lille, France
François Pattou Department of Endocrine Surgery, CHU, Univ Nord de France. Lille, France
Stéphanie Truant Department of Digestive Surgery and Transplantation, CHU, Univ Nord de France. Lille, France

DOI: https://doi.org/10.6092/1590-8577/634

Keywords: Islets of Langerhans Transplantation, Pancreatectomy, Spleen, Wounds and Injuries

Abstract

Context Pancreatic injuries caused by blunt trauma are often treated conservatively, except for the highest grades of these. Case report We report a case of complete transection of the distal pancreas in a young adult which was successfully managed by spleen-preserving laparoscopic distal pancreatectomy followed by an islet autotransplantation in the patient’s forearm striated muscle. Conclusion We describe a mini-invasive approach for pancreatectomy with restoration of resected islets to the patient.

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