Frantz Tumor: Splenopancreatectomy Technical Aspects

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.