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Laparoscopic Distal Pancreatectomy in Children: Case Report and Review of the Literature

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Abstract

Background

Laparoscopic resection of benign tumors of the pancreas has been reported in adults, but only four cases of partial laparoscopic pancreatectomy in children have been described in the English-language literature.

Methods

We describe the case of an 11-year-old girl with a solid pseudopapillary tumor who was treated with a laparoscopic, spleen-preserving, distal pancreatectomy. The specimen was extracted in an endoscopic bag retrieval system through a Pfannenstiel incision. Operative time was 120 minutes, and minimal blood loss occurred. The literature is reviewed.

Results

The postoperative course was uneventful. Twenty-two months after the operation, clinical follow-up (including assessment of exocrine and endocrine pancreatic function) revealed nothing abnormal. The functional and aesthetic results were satisfactory.

Conclusions

The technique used for our case is simple and reproducible, was completed safely within a reasonable operative time, and yielded a good result.

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Acknowledgments

Supported by grants from “Fondazione Zanotto” and COFIN 2005060715_004, Rome, Italy.

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Authors and Affiliations

  1. General Surgery, Baggiovara Hospital, Modena, Italy

    Gianluigi Melotti MD & Micaela Piccoli MD

  2. General Surgery B, University Hospital GB Rossi, Policlinico GB Rossi, Borgo Roma, Piazzale LA Scuro, 10 37134, Verona, Italy

    Alvise Cavallini MD, Giovanni Butturini MD, PhD & Paolo Pederzoli MD

  3. Paediatric Clinic, Desenzano Hospital, Desenzano del Garda, (BS), Italy

    Andrea Delvecchio MD & Cesare Salvi MD

Authors
  1. Gianluigi Melotti MD
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  2. Alvise Cavallini MD
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  3. Giovanni Butturini MD, PhD
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  4. Micaela Piccoli MD
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  5. Andrea Delvecchio MD
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  6. Cesare Salvi MD
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  7. Paolo Pederzoli MD
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Corresponding author

Correspondence to Alvise Cavallini MD.

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Melotti, G., Cavallini, A., Butturini, G. et al. Laparoscopic Distal Pancreatectomy in Children: Case Report and Review of the Literature. Ann Surg Oncol 14, 1065–1069 (2007). https://doi.org/10.1245/s10434-006-9133-6

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  • DOI: https://doi.org/10.1245/s10434-006-9133-6

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