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Technical Detail for Robot Assisted Pancreaticoduodenectomy
Published on: September 28, 2019
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SOLID PSEUDOPAPILLARY NEOPLASM OF THE PANCREAS.
Jorge Roberto Marcante Carlotto1, Franz Robert Apodaca Torrez1,2, Adriano Miziara Gonzalez1
1Surgical Gastroenterology Division, Department of Surgery, School of Medicine, Federal University of São Paulo (EPM/UNIFESP).
Summary
Solid pseudopapillary neoplasms (SPNs) are rare pancreatic tumors. Surgical resection, often distal pancreatectomy with splenectomy, is the primary treatment for SPNs, with abdominal mass being the most common presentation.
Area of Science:
- Gastroenterology
- Surgical Oncology
- Pancreatic Pathology
Background:
- Solid pseudopapillary neoplasms (SPNs) represent a rare group of pancreatic tumors.
- The precise etiology of SPNs remains a subject of ongoing research and discussion.
Purpose of the Study:
- To comprehensively analyze the clinical characteristics, diagnostic approaches, and treatment outcomes of SPNs.
- To evaluate the surgical management strategies and postoperative complications associated with SPNs.
Main Methods:
- A retrospective analysis was conducted on medical records of patients diagnosed with SPNs.
- Data collection spanned from January 1997 to July 2015, encompassing 17 identified cases.
Main Results:
- The majority of patients were female (94.11%) with an average age of 32.88 years.
- Abdominal mass was the most frequent presenting symptom (47.05%), with tumors predominantly located in the pancreatic body/tail (72.22%).
- Distal pancreatectomy with splenectomy was the most common surgical procedure (64.70%); no metastases were observed at diagnosis, and 35.29% experienced postoperative complications, primarily pancreatic fistula (29.41%).
Conclusions:
- Surgical intervention is the cornerstone of SPN management.
- Abdominal mass is the most common clinical manifestation, and distal pancreatectomy with splenectomy is the preferred surgical approach for SPNs.
