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Frantz Tumor: Splenopancreatectomy Technical Aspects.

Martina Lettieri Granell1, Adrian A Camacho1, Camila Capo Grane1

  • 13rd year resident of general surgery, Hospital Nacional Profesor A. Posadas, Buenos Aires, Argentina.

Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
|February 19, 2026
PubMed
Summary
This summary is machine-generated.

Solid pseudopapillary neoplasm (SPN), a rare pancreatic tumor, is effectively treated with distal splenopancreatectomy. This case highlights key surgical techniques for successful SPN resection and optimal patient outcomes.

Keywords:
Frantz tumorcase reportdistal pancreatectomypancreatic surgerysolid pseudopapillary neoplasm

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Area of Science:

  • Oncology
  • Surgical Gastroenterology

Background:

  • Solid pseudopapillary neoplasm (SPN) is a rare pancreatic tumor with low malignant potential, primarily affecting young women.
  • Early diagnosis and complete surgical excision lead to excellent outcomes for SPN patients.

Purpose of the Study:

  • To present a case of SPN in a young female and detail the surgical approach.
  • To emphasize critical technical aspects of distal splenopancreatectomy for SPN.

Main Methods:

  • A 17-year-old female with epigastric pain underwent contrast-enhanced CT and endoscopic ultrasound with core needle biopsy, confirming SPN.
  • The patient was treated with open distal splenopancreatectomy, involving meticulous vascular control and pancreatic stump reinforcement.

Main Results:

  • The splenopancreatectomy was completed en bloc without intraoperative complications.
  • Postoperative recovery was uneventful, with final histopathology pending.

Conclusions:

  • Distal splenopancreatectomy is the standard surgical treatment for SPN in the pancreatic body and tail.
  • Meticulous surgical technique, including early vascular control and pancreatic stump reinforcement, is crucial to minimize complications like pancreatic fistula.