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Updated: Apr 27, 2026
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Laparoscopic Duodenum-Preserving Pancreatic Head Resection via Inferior Infracolic Approach: A Surgical Approach for Benign Lesions
Published on: February 9, 2024
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Laparoscopic surgery for solid pseudopapillary tumor of the pancreas
Shabbir A Afridi1, Airazat M Kazaryan2, Irina Pavlik Marangos3
1Intervention Centre, Oslo University Hospital-Rikshospitalet, Oslo, Norway.
Summary
Minimally invasive surgery for solid pseudopapillary tumors of the pancreas is safe and effective. Laparoscopic resections and enucleations achieve adequate margins, even for tumors in the pancreatic head, with good patient outcomes.
Area of Science:
- Gastroenterology
- Surgical Oncology
- Pancreatic Surgery
Background:
- Solid pseudopapillary tumors (SPTs) of the pancreas are rare neoplasms with uncertain origins and behavior.
- These tumors predominantly affect young women, presenting diagnostic and therapeutic challenges.
Purpose of the Study:
- To evaluate the clinical presentation of SPTs.
- To assess the efficacy and safety of minimally invasive surgical treatments for SPTs.
Main Methods:
- A retrospective review of 13 patients with SPTs who underwent laparoscopic pancreatic surgery between March 1997 and February 2011.
- Analysis of patient demographics, clinical presentation, surgical procedures (enucleation, distal pancreatectomy), operative parameters, and postoperative outcomes.
Main Results:
- The median age of patients was 21 years, with abdominal pain being the most common symptom.
- Surgical procedures included enucleation (n=4) and distal pancreatectomy (n=9). Median tumor size was 6 cm.
- Postoperative complications occurred in 4 patients. Median hospital stay was 5 days. No recurrences or metastases were observed during follow-up.
Conclusions:
- Laparoscopic resection and enucleation are safe and effective for SPTs.
- Minimally invasive approaches can achieve adequate resection margins, including for tumors located in the pancreatic head.
