Solid Pancreatic Pseudopapillary Tumor Managed Laparoscopically in Adolescents: A Case Series and Review of the Literature
Solid Pancreatic Pseudopapillary Tumor Managed Laparoscopically in Adolescents: A Case Series and Review of the Literature
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DOI：
10.1089/lap.2013.0511
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发表时间：
2014-06-01
影响因子：
1.3
通讯作者：
Kane, Timothy D.
中科院分区：
文献类型：
--
作者：
Petrosyan, Mikael;Franklin, Ashanti L.;Kane, Timothy D.
背景：胰腺实性假乳头状肿瘤占所有胰腺肿瘤的 1%-3%，主要发生于女性，通常出现在三四十岁。这些肿瘤很少见于儿童。完全手术切除是治疗的选择，效果良好。对于成年患者来说，腹腔镜手术的使用已经变得越来越普遍。然而，腹腔镜手术在儿科人群中并不常规使用。 材料和方法：进行了一项文献综述，记录了 13 例经腹腔镜切除儿童胰腺实性假乳头状肿瘤的记录病例。我们报告了三名患有实性胰腺假乳头状瘤的儿童通过微创方法治疗的病例系列。结果：在文献中，大多数患者的肿瘤位于身体或远端胰腺。最常见的并发症是胰瘘，采用全肠外营养治疗。此外，还有肿瘤活检后复发的报道。在我们的病例系列中，3 名患者中的 2 名患者因肿瘤靠近脾脏而接受了脾切除术。无术中或术后并发症。 13至36个月的随访时间没有发现复发的证据。结论：在儿科人群中，位于胰体或胰尾的实性胰腺假乳头状肿瘤可以通过腹腔镜远端胰腺切除术进行治疗。
Background: Solid pancreatic pseudopapillary tumors make up 1%-3% of all pancreatic tumors, occur predominantly in females, and usually present in the third and fourth decades of life. Less frequently, these tumors may present in children. Complete surgical excision is the treatment of choice with excellent outcomes. Usage of a laparoscopic approach has become more common for adult patients. However, the laparoscopic approach is not routinely used in the pediatric population.Materials and Methods: A literature review was performed noting 13 documented cases of solid pancreatic pseudopapillary tumors resected laparoscopically in children. We report our case series of three children with a solid pancreatic pseudopapillary tumor treated through a minimally invasive approach.Results: In the literature, most patients had the tumor in the body or distal pancreas. The most common complication was pancreatic fistula, which was managed with total parenteral nutrition. In addition, there were reports of recurrence after biopsy of the tumor. In our case series 2 of the 3 patients received a splenectomy because of the proximity of the tumor to the spleen. There were no intraoperative or postoperative complications. Follow-up length from 13 to 36 months revealed no evidence of recurrence.Conclusions: In the pediatric population, solid pancreatic pseudopapillary tumors located in the body or tail of the pancreas can be managed with a laparoscopic distal pancreatectomy.