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Laparoscopic Surgery for Solid Pseudopapillary Tumor of the Pancreas

BACKGROUND AND OBJECTIVES: Solid pseudopapillary tumors of the pancreas are rare and occur most frequently in young women. They have an uncertain pathogenesis and unclear clinical behavior. Our aim was to evaluate the clinical presentation of solid pseudopapillary tumors and assess the efficacy of t...

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Autores principales: Afridi, Shabbir A., Kazaryan, Airazat M., Marangos, Irina Pavlik, Røsok, Bård I., Fretland, Åsmund A., Yaqub, Sheraz, Edwin, Bjørn
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Society of Laparoendoscopic Surgeons 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4035633/
https://www.ncbi.nlm.nih.gov/pubmed/24960486
http://dx.doi.org/10.4293/108680813X13753907291837
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author Afridi, Shabbir A.
Kazaryan, Airazat M.
Marangos, Irina Pavlik
Røsok, Bård I.
Fretland, Åsmund A.
Yaqub, Sheraz
Edwin, Bjørn
author_facet Afridi, Shabbir A.
Kazaryan, Airazat M.
Marangos, Irina Pavlik
Røsok, Bård I.
Fretland, Åsmund A.
Yaqub, Sheraz
Edwin, Bjørn
author_sort Afridi, Shabbir A.
collection PubMed
description BACKGROUND AND OBJECTIVES: Solid pseudopapillary tumors of the pancreas are rare and occur most frequently in young women. They have an uncertain pathogenesis and unclear clinical behavior. Our aim was to evaluate the clinical presentation of solid pseudopapillary tumors and assess the efficacy of treatment with minimally invasive surgery. METHODS: From March 1997 to February 2011, 13 of 273 patients who underwent laparoscopic procedures on the pancreas were found to have solid pseudopapillary tumors. There were 12 female patients and 1 male patient. The median age was 21 years (range, 15–77 years). Abdominal pain was the most common presenting symptom (n = 9). Tumors were incidentally found in 3 patients on computed tomography scans obtained for other reasons. RESULTS: Enucleation of the tumor was performed in 4 patients, including 3 in whom the tumor was located in the head of the pancreas. Eight patients underwent distal pancreatectomy with splenectomy, whereas spleen-preserving distal pancreatectomy was performed in one case. The median tumor size was 6 cm (range, 1.5–11 cm), the median operative time was 197 minutes (range, 68–320 minutes), and the median blood loss was 50 mL (range, <50–750 mL). Distal resections were performed with a linear stapler. Four patients had postoperative complications. The median length of hospital stay was 5 days (range, 2–12 days). During a median follow-up period of 11 months (range, 3–121 months), no local recurrences or distant metastases were found. CONCLUSION: Laparoscopic resections and enucleations of solid pseudopapillary tumors of the pancreas can be performed safely and with adequate resection margins even if the tumors are located in the head of the organ.
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spelling pubmed-40356332014-06-04 Laparoscopic Surgery for Solid Pseudopapillary Tumor of the Pancreas Afridi, Shabbir A. Kazaryan, Airazat M. Marangos, Irina Pavlik Røsok, Bård I. Fretland, Åsmund A. Yaqub, Sheraz Edwin, Bjørn JSLS Scientific Papers BACKGROUND AND OBJECTIVES: Solid pseudopapillary tumors of the pancreas are rare and occur most frequently in young women. They have an uncertain pathogenesis and unclear clinical behavior. Our aim was to evaluate the clinical presentation of solid pseudopapillary tumors and assess the efficacy of treatment with minimally invasive surgery. METHODS: From March 1997 to February 2011, 13 of 273 patients who underwent laparoscopic procedures on the pancreas were found to have solid pseudopapillary tumors. There were 12 female patients and 1 male patient. The median age was 21 years (range, 15–77 years). Abdominal pain was the most common presenting symptom (n = 9). Tumors were incidentally found in 3 patients on computed tomography scans obtained for other reasons. RESULTS: Enucleation of the tumor was performed in 4 patients, including 3 in whom the tumor was located in the head of the pancreas. Eight patients underwent distal pancreatectomy with splenectomy, whereas spleen-preserving distal pancreatectomy was performed in one case. The median tumor size was 6 cm (range, 1.5–11 cm), the median operative time was 197 minutes (range, 68–320 minutes), and the median blood loss was 50 mL (range, <50–750 mL). Distal resections were performed with a linear stapler. Four patients had postoperative complications. The median length of hospital stay was 5 days (range, 2–12 days). During a median follow-up period of 11 months (range, 3–121 months), no local recurrences or distant metastases were found. CONCLUSION: Laparoscopic resections and enucleations of solid pseudopapillary tumors of the pancreas can be performed safely and with adequate resection margins even if the tumors are located in the head of the organ. Society of Laparoendoscopic Surgeons 2014 /pmc/articles/PMC4035633/ /pubmed/24960486 http://dx.doi.org/10.4293/108680813X13753907291837 Text en © 2014 by JSLS, Journal of the Society of Laparoendoscopic Surgeons. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives License (http://creativecommons.org/licenses/by-nc-nd/3.0/us/), which permits for noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited and is not altered in any way.
spellingShingle Scientific Papers
Afridi, Shabbir A.
Kazaryan, Airazat M.
Marangos, Irina Pavlik
Røsok, Bård I.
Fretland, Åsmund A.
Yaqub, Sheraz
Edwin, Bjørn
Laparoscopic Surgery for Solid Pseudopapillary Tumor of the Pancreas
title Laparoscopic Surgery for Solid Pseudopapillary Tumor of the Pancreas
title_full Laparoscopic Surgery for Solid Pseudopapillary Tumor of the Pancreas
title_fullStr Laparoscopic Surgery for Solid Pseudopapillary Tumor of the Pancreas
title_full_unstemmed Laparoscopic Surgery for Solid Pseudopapillary Tumor of the Pancreas
title_short Laparoscopic Surgery for Solid Pseudopapillary Tumor of the Pancreas
title_sort laparoscopic surgery for solid pseudopapillary tumor of the pancreas
topic Scientific Papers
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4035633/
https://www.ncbi.nlm.nih.gov/pubmed/24960486
http://dx.doi.org/10.4293/108680813X13753907291837
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