scholarly journals Distal Pancreas and Spleen-preserving Central Pancreatectomy in a Locally Aggressive Solid Pseudopapillary Neoplasm of Pancreas: A Novel Extended Warshaw Technique

Cureus ◽  
2018 ◽  
Author(s):  
Sakthivel Chinnakkulam Kandhasamy ◽  
Jayanth K Sriram ◽  
Ashok K Sahoo ◽  
Mangala Goneppanavar ◽  
Vishnu Prasad Nelamangala Ramakrishnaiah
Keyword(s):  
Central Pancreatectomy ◽  
Solid Pseudopapillary Neoplasm ◽  
Spleen Preserving ◽  
Distal Pancreas

scholarly journals Robotic central pancreatectomy for a solid pseudopapillary neoplasm

HPB ◽  
2021 ◽  
Vol 23 ◽  
pp. S1008
Author(s):  
E. Julià-Verdaguer ◽  
R. Memba ◽  
L. Estalella ◽  
E. Llàcer-Millan ◽  
M.C. Pavel ◽  
...  
Keyword(s):  
Central Pancreatectomy ◽  
Solid Pseudopapillary Neoplasm

scholarly journals Laparoscopic pancreatectomy for benign or low-grade malignant pancreatic tumors: outcomes in a single high-volume institution

BMC Surgery ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
He Cai ◽  
Lu Feng ◽  
Bing Peng
Keyword(s):  
Surgical Techniques ◽  
Operation Time ◽  
High Volume ◽  
Long Term Results ◽  
Pancreatic Tumors ◽  
Low Grade ◽  
Central Pancreatectomy ◽  
Laparoscopic Pancreatectomy ◽  
Spleen Preserving

Abstract Objective To investigate the perioperative and long-term outcomes of laparoscopic pancreatectomy for benign and low-grade malignant pancreatic tumors, and further compare the outcomes between different surgical techniques. Methods We retrospectively collected clinical data of consecutive patients with benign or low-grade malignant pancreatic tumors underwent surgery from February 2014 to February 2019. Patients were grouped and compared according to different surgical operations they accepted. Results Totally 164 patients were reviewed and 83 patients underwent laparoscopic pylorus-preserving pancreaticoduodenectomy (LPPPD), 41 patients underwent laparoscopic spleen-preserving distal pancreatectomy (LSPDP) and 20 patients underwent laparoscopic central pancreatectomy (LCP) were included in this study, the rest 20 patients underwent laparoscopic enucleation were excluded. There were 53 male patients and 91 female patients. The median age of these patients was 53.0 years (IQR 39.3–63.0 years). The median BMI was 21.5 kg/m2 (IQR 19.7–24.0 kg/m2). The postoperative severe complication was 4.2% and the 90-days mortality was 0. Compare with LCP group, the LPPPD and LSPDP group had longer operation time (300.4 ± 89.7 vs. 197.5 ± 30.5 min, P < 0.001) while LSPDP group had shorter operation time (174.8 ± 46.4 vs. 197.5 ± 30.5 min, P = 0.027), more blood loss [140.0 (50.0–1000.0) vs. 50.0 (20.0–200.0) ml P < 0.001 and 100.0 (20.0–300.0) vs. 50.0 (20.0–200.0 ml, P = 0.039, respectively), lower rate of clinically relevant postoperative pancreatic fistula [3 (3.6%) vs. 8 (40.0%), P < 0.001 and 3 (7.3%) vs. 8 (40.0%), P = 0.006, respectively], lower rate of postpancreatectomy hemorrhage [0 (0%) vs. 2 (10.0%), P = 0.036 and (0%) vs. 2 (10.0%) P = 0.104, respectively] and lower rate of postoperative severe complications [2 (2.4%) vs.4 (20.0%), P = 0.012 and 0 (0%) vs. 4 (20.0%), P = 0.009, respectively], higher proportion of postoperative pancreatin and insulin treatment (pancreatin: 39.8% vs., 15% P = 0.037 and 24.4%vs. 15%, P = 0.390; insulin: 0 vs. 18.1%, P = 0.040 and 0 vs. 12.2%, P = 0.041). Conclusions Overall, laparoscopic pancreatectomy could be safely performed for benign and low-grade malignant pancreatic tumors while the decision to perform laparoscopic central pancreatectomy should be made carefully for fit patients who can sustain a significant postoperative morbidity and could benefit from the excellent long-term results even in a high-volume center.

scholarly journals A case report of laparoscopic spleen preserving distal pancreatectomy for small solid pseudopapillary neoplasm (SPN) that was preoperatively diagnosed

Suizo ◽  
2013 ◽  
Vol 28 (4) ◽  
pp. 565-570 ◽  
Author(s):  
Sadaaki YAMAZOE ◽  
Sadatoshi SHIMIZU ◽  
Takayoshi NAKAJIMA ◽  
Go OHIRA ◽  
Shintaro KODAI ◽  
...  
Keyword(s):  
Case Report ◽  
Distal Pancreatectomy ◽  
Solid Pseudopapillary Neoplasm ◽  
Spleen Preserving

scholarly journals Solid pseudopapillary neoplasm of pancreas in a patient of situs inversus totalis

2019 ◽  
Vol 12 (8) ◽  
pp. e231644
Author(s):  
Venkata Vishwanath Reddych ◽  
Anand Prakash
Keyword(s):  
Distal Pancreatectomy ◽  
Situs Inversus ◽  
Situs Inversus Totalis ◽  
Rare Occurrence ◽  
Solid Pseudopapillary Neoplasm ◽  
Technical Challenge ◽  
Spleen Preserving ◽  
Operating Surgeon

Solid pseudopapillary neoplasm (SPN) in a case of situs inversus totalis (SIT) is a rare occurrence with only one case being reported until now in the literature. SIT presents a technical challenge for the operating surgeon in view of the reversed anatomy hence the operating surgeon should orient himself of the altered anatomy of SIT before contemplating surgery. To the best of our knowledge, spleen-preserving distal pancreatectomy in a patient of SPN with SIT has not been reported until now. We are reporting a case of SPN with SIT who underwent spleen-preserving distal pancreatectomy.

scholarly journals Total laparoscopic central pancreatectomy with Roux-Y pancreaticojejunostomy for solid pseudopapillary neoplasm of pancreas

Medicine ◽  
2019 ◽  
Vol 98 (18) ◽  
pp. e15495 ◽  
Author(s):  
Bin Liang ◽  
Yuanyuan Chen ◽  
Mengyang Li ◽  
Xiaofeng Dong ◽  
Siyang Yao ◽  
...  
Keyword(s):  
Central Pancreatectomy ◽  
Solid Pseudopapillary Neoplasm

scholarly journals Solid Pseudopapillary Neoplasm of Pancreas – A Case Series from Bangalore, India

2021 ◽  
Vol 8 (22) ◽  
pp. 1831-1834
Author(s):  
Sathish Obalanarasimhaiah ◽  
Nagesh Nayakarahalli Swamygowda ◽  
Balakrishna Nanjundappa Setty ◽  
Kasturi Thirumangalam Subramani
Keyword(s):  
Surgical Resection ◽  
Tertiary Care ◽  
Case Series ◽  
Needle Aspiration ◽  
Malignant Potential ◽  
Common Symptom ◽  
Solid Pseudopapillary Neoplasm ◽  
Tertiary Care Centre ◽  
Spleen Preserving ◽  
Whipple’S Procedure

BACKGROUND Solid pseudopapillary neoplasm (SPN) of pancreas is a rare epithelial tumour of low malignant potential. SPN accounts for less than 1 to 2 % of exocrine pancreatic tumours. It mainly affects women between the second and third decade of life, and its management is not well defined. The aim of this study was to report clinicopathological characteristics of SPN and its outcome. METHODS A retrospective study was conducted in a tertiary care centre from January 2015 to December 2019. All patients who were diagnosed and treated as SPN of pancreas in our institute were retrospectively reviewed. A data of the characteristics of these patients was developed, including age, gender, size, location of tumour, treatment, histopathological and immunohistochemical features. RESULTS Six patients were diagnosed as having SPN of pancreas, during the 5-year period. All 6 patients were female. Youngest age of occurrence was 15 years. Maximum age was 41 years. Average age was 25 years. All patients were symptomatic and the most common symptom was dull aching upper abdominal pain. Contrast enhanced computed tomography (CECT) was done for all patients. 3 patients had typical features of SPN. Endoscopic ultrasound (EUS) was done for 4 patients and EUS fine needle aspiration cytology (FNAC) was done for 3 patients. Patients were provided with procedure details and informed consent was taken. All patients were subjected to surgical treatment. Out of six patients, two underwent laparoscopic spleen preserving distal pancreatectomy, two patients underwent classical Whipple’s procedure and two patients had undergone median pancreatectomy. CONCLUSIONS SPN are rare neoplasms, typically affecting young females without clear histogenesis and with a malignant potential. Appearance from imaging studies can be adequate to guide surgical resection without pre-operative pathological assessment. But in unclear cases, EUS-FNAC with immunohistochemistry helps in establishing a pre-operative diagnosis. Surgical resection should be offered when feasible. Prognosis of SPN of the pancreas is good due to its favourable biological features, even in the presence of distal metastasis. KEYWORDS Solid Pseudopapillary Neoplasm (SPN)

scholarly journals A Case of Localized Pancreatitis with Fat Replacement in the Distal Pancreas Treated with Laparoscopic Central Pancreatectomy

2013 ◽  
Vol 46 (7) ◽  
pp. 515-523
Author(s):  
Jiro Imura ◽  
Kanji Miyata ◽  
Norihiro Yuasa ◽  
Hideo Miyake ◽  
Hidemasa Nagai ◽  
...  
Keyword(s):  
Central Pancreatectomy ◽  
Fat Replacement ◽  
Distal Pancreas
Sign in / Sign up

Export Citation Format

Share Document