Laparoscopic spleen-preserving distal pancreatectomy followed by intramuscular autologous islet transplantation for traumatic pancreatic transection in a young adult

Pancreatic injuries caused by blunt trauma are often treated conservatively, except for the highest grades of these. 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. We describe a mini-invasive approach for pancreatectomy with restoration of resected islets to the patient.