Case report highlights a successful spleen-preserving surgery for an epithelial cyst in a rare pancreatic condition, suggesting innovative approaches for treatment.
INTRODUCTION: Epithelial cysts arising from an intrapancreatic accessory spleen (ECIPAS) are rare and often misdiagnosed as pancreatic cystic neoplasms because their imaging features frequently overlap. When malignancy cannot be ruled out, surgical resection is generally indicated, and minimally invasive approaches have become an appropriate treatment option. We report a case of ECIPAS initially suspected to be a mucinous cystic neoplasm (MCN), successfully treated with spleen-preserving distal pancreatectomy using the hinotori Surgical Robot System.
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Ueno et al. (2026) studied this question.
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