Journal of Robotic Surgery

, Volume 13, Issue 2, pp 325–329 | Cite as

Robotic-assisted, spleen-preserving distal pancreatectomy for a solid pseudopapillary tumour in a pediatric patient: a case report and review of the literature

  • Raj Lalli
  • Neil Merritt
  • Christopher M. Schlachta
  • Andreana BütterEmail author
Case Report


Solid pseudopapillary tumour is a rare carcinoma of the pancreas with low-grade malignant potential that typically presents in females in their third decade. The tumour most commonly occurs in the tail of the pancreas, although any site can be affected. Surgical resection is the standard treatment and offers an excellent prognosis. Robotic-assisted laparoscopic surgery is an emerging technique for the treatment of pancreatic neoplasms. We report a case of a 17-year-old female with acute onset abdominal pain who was found to have a mass in the distal pancreas. A robotic-assisted laparoscopic distal pancreatectomy with spleen preservation was successfully performed, its first reported use in a pediatric patient. The patient had an uncomplicated recovery. The robotic approach can be considered for younger patients presenting with a solid pseudopapillary tumour in the distal pancreas.


Pseudopapillary Robotic Distal pancreatectomy Pediatric Pancreas 



This paper was not funded in part or in whole by any organization.

Compliance with ethical standards

Conflict of interest

Mr. Raj Lalli and Drs. Neil Merritt, Christopher M. Schlachta and Andreana Bütter declare that they have no conflict of interest.

Ethical standards

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. This article does not contain any studies with animals performed by any of the authors.


Written informed consent was obtained from the patient for publication of this Case Report/any accompanying images. A copy of the written consent is available for review by the Editor-in-Chief of this journal.


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Copyright information

© Springer-Verlag London Ltd., part of Springer Nature 2018

Authors and Affiliations

  1. 1.Division of Pediatric Surgery, London Health Sciences Centre (LHSC), Children’s HospitalWestern University, Schulich School of Medicine and DentistryLondonCanada
  2. 2.Division of General Surgery, LHSCWestern University, Schulich School of Medicine and DentistryLondonCanada

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