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Published on: February 9, 2024
Laparoscopic pancreatic resections for solid pseudopapillary tumor in children.
Y Y Sokolov1, S V Stonogin, D V Donskoy
1Department of Pediatric Surgery, Russian Medical Academy of Postgraduate Education, Rubzovsko-Dvorzovaya ul. 1/ 3, Moscow, Russian Federation. sokolov@permlink.ru
Summary
Laparoscopic pancreatic resections are safe and effective for treating pediatric solid pseudopapillary tumors (SPT). These minimally invasive techniques offer good outcomes for children with pancreatic tumors.
Area of Science:
- Pediatric surgery
- Surgical oncology
- Minimally invasive surgery
Background:
- Solid pseudopapillary tumors (SPT) are rare pancreatic neoplasms in children.
- Investigating the efficacy of laparoscopic pancreatic resections for pediatric SPT.
Observation:
- Two adolescent girls presented with recurrent abdominal pain.
- Imaging revealed pancreatic masses, necessitating surgical intervention.
- Laparoscopic procedures were performed, including pancreatic resection with reconstruction and spleen-preserving distal pancreatectomy.
Findings:
- Both laparoscopic pancreatic resections were successfully completed with acceptable operative times.
- Postoperative recovery was uneventful, with early drain removal and feeding.
- Follow-up imaging at 6 months and 2 years showed normal results, indicating successful tumor removal and no recurrence.
Implications:
- Laparoscopic pancreatic resection is a safe and feasible approach for pediatric SPT.
- Laparoscopic central pancreatectomy with pancreaticogastrostomy is suitable for mid-pancreatic tumors.
- Laparoscopic spleen-preserving distal pancreatectomy is a viable option for distal pancreatic tumors.