PMID- 35471864 OWN - NLM STAT- MEDLINE DCOM- 20220920 LR - 20220922 IS - 1555-9823 (Electronic) IS - 0003-1348 (Linking) VI - 88 IP - 9 DP - 2022 Sep TI - Intraoperative Ultrasound Guided Laparoscopic Spleen-Preserving Distal Pancreatectomy for Primitive Neuroendocrine Tumors in a Pediatric Patient With MEN-1. PG - 2241-2243 LID - 10.1177/00031348221093802 [doi] AB - This case details the presentation and surgical management of a 15-year-old male patient with multiple endocrine neoplasia syndrome type 1 (MEN1) who required distal pancreatectomy for multiple nonfunctional pancreatic tumors. An intraoperative ultrasound was utilized to allow for proper location of the distal pancreatectomy, as well as visualization of the splenic vessel relationships and to ensure all lesions were contained within the specimen. Pathology demonstrated 5 well-differentiated neuroendocrine tumors with no evidence of malignancy. This case utilized innovative technology and a multidisciplinary approach in a challenging case to achieve a safe minimally invasive resection. The use of ultrasound intraoperatively provided confidence that all lesions had been identified, as well as demonstration of safe planes separate from the nearby vasculature. FAU - McKay, Katlyn G AU - McKay KG AD - 12327Vanderbilt University School of Medicine, Nashville, TN, USA. FAU - Hanna, David N AU - Hanna DN AUID- ORCID: 0000-0003-2530-0328 AD - Section of Surgical Sciences, 12328Vanderbilt University Medical Center, Nashville, TN, USA. FAU - Martin, Laura AU - Martin L AD - Department of Pediatric Surgery, 12328Vanderbilt University Medical Center, Nashville, TN, USA. FAU - Datye, Karishma A AU - Datye KA AD - Division of Pediatric Endocrinology, 12328Vanderbilt University Medical Center, Nashville, TN, USA. FAU - Crane, Gabriella L AU - Crane GL AD - Division of Pediatric Radiology, 12328Vanderbilt University Medical Center, Nashville, TN, USA. FAU - Correa, Hernan AU - Correa H AD - Division of Pediatric Pathology, 12328Vanderbilt University Medical Center, Nashville, TN, USA. FAU - Lovvorn, Harold N 3rd AU - Lovvorn HN 3rd AD - Department of Pediatric Surgery, 12328Vanderbilt University Medical Center, Nashville, TN, USA. FAU - Solorzano, Carmen C AU - Solorzano CC AD - Division of Surgical Oncology and Endocrine Surgery, 12328Vanderbilt University Medical Center, Nashville, TN, USA. FAU - Zamora, Irving J AU - Zamora IJ LA - eng PT - Case Reports DEP - 20220426 PL - United States TA - Am Surg JT - The American surgeon JID - 0370522 SB - IM MH - Adolescent MH - Humans MH - Laparoscopy/methods MH - Male MH - *Multiple Endocrine Neoplasia Type 1/diagnostic imaging/pathology/surgery MH - *Neuroendocrine Tumors/diagnostic imaging/pathology/surgery MH - Pancreatectomy/methods MH - *Pancreatic Neoplasms/diagnostic imaging/pathology/surgery MH - Ultrasonography, Interventional/methods OTO - NOTNLM OT - minimally invasive surgery OT - pancreas OT - pediatric surgery EDAT- 2022/04/27 06:00 MHDA- 2022/09/21 06:00 CRDT- 2022/04/26 17:03 PHST- 2022/04/27 06:00 [pubmed] PHST- 2022/09/21 06:00 [medline] PHST- 2022/04/26 17:03 [entrez] AID - 10.1177/00031348221093802 [doi] PST - ppublish SO - Am Surg. 2022 Sep;88(9):2241-2243. doi: 10.1177/00031348221093802. Epub 2022 Apr 26.