A LAPAROSCOPIC ACCESS IN THE SURGICAL TREATMENT OF CHILDREN WITH SOLID PSEUDOPAPILLARY TUMORS OF THE PANCREAS

Abstract

Introduction. Solid-pseudopapillary tumors (SPT) of the pancreas are rare, not exceeding 1-2% of all exocrine pancreatic tumors. Treatment of patients with this pathology consists of the radical removal of the tumor which has to a favorable prognosis of the disease. If the tumor is localized only in the pancreas tail or in the body with invasion into the tail, distal subtotal splenopreserving or distal splenopreserving pancreatic resections are performed. Objective. To demonstrate potentials of laparoscopic access in the surgical treatment of children with SPT. Material and methods. The article discusses 9 patients with diagnosed SPT who had the abovementioned surgical interventions via laparoscopic access . Discussion. The researchers demonstrated that pancreatic resections can be performed laparoscopically. Conclusions. The laparoscopic access is a priority for distal, distal subtotal pancreatic resections. It reduces surgical time, minimizes surgical trauma, accelerates patients’ rehabilitation , improves cosmetic effects as well as makes hospital stay shorter. In addition, it does not worsen immediate and long-term outcomes of the treatment.

Keywords

pancreas / pancreatic resection / solid pseudopapillary tumors / laparoscopy / pediatric surgery / pediatric oncology

References

[1] Паклина О.В., Чекмарева И.А., Ротин Д.Л., Горин Д.С. Семейство генов MYC в солиднопсевдопапиллярной опухоли поджелудочной железы. Российский медико-биологический вестник имени академика И.П. Павлова. 2013; 2: 13-21

[2] Frantz V.K. Tumors of the pancreas. Atlas of tumor pathology. Washington DC: Armed Forces Institute of Pathology. 1959

[3] Рябов А.Б., Поддубный И.В., Трунов В.О., Хижников А.В., Милащенко Т.А., Куркин А.П., Козлов М.Ю., Кубиров М.С., Хамукова О.С. Лапароскопическая центральная резекция поджелудочной железы Первый опыт Морозовской больницы. Детская хирургия. 2020; 24(2): 121-4. DOI: https://dx.doi.org/10.18821/1560-9510-2020-24-2-121-124

[4] Efstathios A Antoniou, Christos Damaskos, Nikolaos Garmpis, Christos Salakos, Giorgos-Antonios Margonis, Konstantinos Kontzoglou, Stefanos Lahanis, Eleftherios Spartalis, Dimitrios Patsouras, Stylianos Kykalos, Anna Garmpi, Nikolaos Andreatos, Timothy M Pawlik, Gregory Kouraklis. Solid Pseudopapillary Tumor of the Pancreas: A Single-center Experience and Review of the Literature. In Vivo. Jul-Aug 2017;31(4):501-10. doi: 10.21873/invivo.11089/

[5] Рыбакова Д.В., Керимов П.А., Казанцев А.П. Солидная псевдопапиллярная опухоль поджелудочной железы у детей: 10-летний опыт. Детская хирургия. 2019; 23(1): 9-13

[6] Соколов Ю.Ю., Стоногин С.В., Поварнин О.Я., Алейникова В.А., Тимохович Е.В., Леонидов А.Л., Катасанова Л.П., Лаврова Т.Р. Лапароскопическая резекция поджелудочной железы у детей с солидной псевдопапиллярной опухолью. Педиатрическая фармокология. 2009;6(4 ): 128-30.

[7] Liang B., Chen Y., Li M., Dong X., Yao S., Liu T. Total laparoscopic central pancreatectomy with Roux-Y pancreaticojejunostomy for solid pseudopapillary neoplasm of pancreas: A case report. Medicine (Baltimore). 2019; May; 98(18): e15495.

[8] Senthilnathan P., Dhaker K.C., Kaje V., Naidu S.B., Sarvani M., Sabnis S.C., Srivatsan Gurumurthy S., Nalakilli V.P., Anand Vijay N., Rajapandian S., Praveen Raj P., Parthasarathi R., Palanivelu C. Pancreatology. 2017 Nov-Dec;17(6):927-30. doi: 10.1016/j.pan.2017.09.003. Laparoscopic management of solid pseudo papillary neoplasm of pancreas in tertiary care center from south India.

[9] Fernandez-Cruz L., Saenz A., Astudillo E. Outcome of laparoscopic pancreatic surgery: endocrine and nonendocrine tumours. World J. Surg. 2002;26:1057-65.

[10] Impact of pancreatic gland volume on fistula formation after pancreatic tail resection. Frozanpor F, Albiin N, Linder S, Segersvärd R, Lundell L, Arnelo U. JOP. 2010; 11(5):439-43.

[11] Conlon K.C., Labow D., Leung D. et al. Prospective randomized clinical trial of the value of intraperitoneal drainage after pancreatic resection. Ann. Surg. 2001; 234: 487-94.