Laparoscopic fenestration of pancreatic serous cystadenoma: Minimally invasive approach for symptomatic benign disease

Figure 1 Magnetic resonance imaging and post-operative computed tomography scan of patient 1. Magnetic resonance imaging shows a large serous cystadenoma in the pancreatic head measured at 13 cm (A), with post-operative computed tomography scan showing complete disappearance after laparoscopic fenestration (B).

Figure 2 Computed tomography scan and post-operative magnetic resonance imaging of patient 2. Computed tomography scan showed a serous cystadenoma in the pancreatic head measured at 4 cm at diagnosis (A) and 12 cm (B) before surgery; post-operative magnetic resonance imaging showing complete cyst disappearance (C).

Figure 3 Magnetic resonance imaging and post-operative computed tomography scan of patient 3. Magnetic resonance imaging showing multiple serous cystadenoma, with a large one in the pancreatic head measuring at 10 cm at diagnosis (A) and 14 cm before surgery (B); post-operative computed tomography scan showed complete disappearance (C).

Figure 4 Intraoperative view, showing large fenestration of a large serous cystadenoma in the pancreatic head.