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Minimally invasive (laparoscopic and robot-assisted) approach for solid pseudopapillary tumor of the distal pancreas: a single-center experience

  • Original article
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Journal of Hepato-Biliary-Pancreatic Sciences

Abstract

Background/purpose

A single-institutional experiences of solid pseudopapillary tumor (SPT) in the distal pancreas were retrospectively reviewed with special reference to a minimally invasive approach.

Methods

Thirty-five patients with SPT of the distal pancreas treated during the past 20 years were retrospectively evaluated. We divided the patients into 2 groups based on the surgical approach: the laparoscopic/robot-assisted surgery (LR) group and the conventional open surgery (O) group. We reviewed the chronological changes and characteristics of SPT. A comparative analysis of the two groups (LR vs. O) was conducted in terms of perioperative surgical outcomes.

Results

The discovery of relatively small SPTs without symptoms seemed to be increasing (p < 0.05). Eleven of the 35 patients were assigned to the LR group. Ten patients were female and 1 was male, and they had a median age of 32 years (range 24–62 years) and a median tumor size of 3.6 cm (range 1–8.5 cm). Eight patients underwent laparoscopic distal pancreatectomy with or without splenectomy, and the remaining 3 underwent robot-assisted central pancreatectomy with pancreaticogastrostomy. In the comparative analysis of the LR and O groups, smaller tumor size, earlier oral intake, and shorter hospital stay, without increasing morbidity, were noted in the LR group (p < 0.05).

Conclusions

A minimally invasive (laparoscopic/robot-assisted) approach for SPT of the distal pancreas is thought to be more appropriate than and preferable to conventional open surgery in well-selected patients.

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Acknowledgments

We specially thank Professors Choi JS, Kim KS, and Choi GH at the Department of Surgery, Yonsei University College of Medicine, for their devotion and critical recommendations on preparing this manuscript.

Conflict of interest

Chang Moo Kang, Sung Hoon Choi, Ho Kyoung Hwang, Woo Jung Lee, and Hoon Sang Chi have nothing to disclose regarding financial conflict.

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Authors and Affiliations

  1. Division of Bilio-Pancreas, Department of Surgery, Yonsei University College of Medicine, 250 Seongsanno, Seodaemun-gu, Seoul, 120-752, Korea

    Chang Moo Kang, Sung Hoon Choi, Ho Kyoung Hwang, Woo Jung Lee & Hoon Sang Chi

  2. Clinic of Pancreatic and Biliary Cancer, Institute of Gastroenterology, Yonsei University Health System, Seoul, Korea

    Chang Moo Kang, Sung Hoon Choi, Ho Kyoung Hwang, Woo Jung Lee & Hoon Sang Chi

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  1. Chang Moo Kang
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  2. Sung Hoon Choi
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  3. Ho Kyoung Hwang
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Correspondence to Woo Jung Lee.

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Kang, C.M., Choi, S.H., Hwang, H.K. et al. Minimally invasive (laparoscopic and robot-assisted) approach for solid pseudopapillary tumor of the distal pancreas: a single-center experience. J Hepatobiliary Pancreat Sci 18, 87–93 (2011). https://doi.org/10.1007/s00534-010-0316-y

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