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Surgical Management and Long-Term Follow-Up of Solid Pseudopapillary Tumor of Pancreas: A Large Series from a Single Institution

  • Original Article
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Journal of Gastrointestinal Surgery Aims and scope

Abstract

Objective

We summarized the diagnosis, surgical strategies, and long-term follow-up outcomes in our large series of solid pseudopapillary tumors (SPTs) of pancreas.

Methods

In this retrospective analysis, we collected data pertaining to pancreatic SPTs diagnosed in 115 patients between July 2003 and February 2013.We analyzed the demographic characteristics, clinical presentations, operative strategies, perioperative details, and follow-up outcomes.

Results

Abdominal pain was the most frequent symptom (40.0 %). The most frequent location of SPT was pancreatic tail (36.5 %). We performed 33 cases of pancreaticoduodenectomy, 15 cases of middle pancreatectomy, 19 cases of distal pancreatectomy with spleen preservation, 28 cases of distal pancreatectomy with splenectomy, and 18 cases of enucleation. Two patients suffered tumor recurrence and required a second resection of the recurrent tumor.

Conclusions

Complete resection of the tumor is associated with good survival, even in patients with vessel involvement or metastases. In patients with tumor recurrence, a second resection resulted in long-term survival.

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Acknowledgments

This work is supported by The Research Special Fund for Public Welfare Industry of Health of China. No. 201202007

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Authors and Affiliations

  1. Department of Hepatopancreatobiliary Surgery, West China Hospital, Sichuan University, No. 37, Guo Xue Xiang, Chengdu, Sichuan, 610041, China

    Yunqiang Cai, Xun Ran, Siming Xie, Xin Wang, Bing Peng, Gang Mai & Xubao Liu

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  1. Yunqiang Cai
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  2. Xun Ran
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  3. Siming Xie
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  4. Xin Wang
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  5. Bing Peng
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  6. Gang Mai
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  7. Xubao Liu
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Corresponding author

Correspondence to Xubao Liu.

Additional information

The abstract of this study was present at 39th PSGBI, 27th–29th November 2013, Liverpool, UK.

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Cai, Y., Ran, X., Xie, S. et al. Surgical Management and Long-Term Follow-Up of Solid Pseudopapillary Tumor of Pancreas: A Large Series from a Single Institution. J Gastrointest Surg 18, 935–940 (2014). https://doi.org/10.1007/s11605-014-2476-6

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  • DOI: https://doi.org/10.1007/s11605-014-2476-6

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