Skip to main content
Log in

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

  • Case Report
  • Published:
Journal of Robotic Surgery Aims and scope Submit manuscript

Abstract

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  1. Papavramidis T, Papavramidis S (2005) Solid pseudopapillary tumors of the pancreas: review of 718 patients reported in English literature. J Am Coll Surg 200(6):965–972

    Article  PubMed  Google Scholar 

  2. Mao C, Guvendi M, Domenico DR, Kim K, Thomford NR, Howard JM (1995) Papillary cystic and solid tumors of the pancreas: a pancreatic embryonic tumor? Studies of three cases and cumulative review of the world’s literature. Surgery 118(5):821–828

    Article  CAS  PubMed  Google Scholar 

  3. Kang CM, Kim KS, Choi JS, Kim H, Lee WJ, Kim BR (2006) Solid pseudopapillary tumor of the pancreas suggesting malignant potential. Pancreas 32(3):276–280

    Article  PubMed  Google Scholar 

  4. Vollmer C, Dixon E, Grant D (2003) Management of a solid pseudopapillary tumor of the pancreas with liver metastases. HPB 5(4):264–267

    Article  PubMed  PubMed Central  Google Scholar 

  5. Cuschieri A (1994) Laparoscopic surgery of the pancreas. J R Coll Physicians Edinb 39(3):178–184

    CAS  Google Scholar 

  6. Cavallini A, Butturini G, Daskalaki D, Salvia R, Melotti G, Piccoli M, Bassi C, Pederzoli P (2011) Laparoscopic pancreatectomy for solid pseudo-papillary tumors of the pancreas is a suitable technique; our experience with long-term follow-up and review of the literature. Ann Surg Oncol 18(2):352

    Article  PubMed  Google Scholar 

  7. Fernandes E, Giulianotti P (2013) Robotic-assisted pancreatic surgery. J Hepatobiliary Pancreat Sci 20(6):583–589

    Article  CAS  PubMed  Google Scholar 

  8. Surveillance, Epidemiology and End Results (SEER) Public-Use Data 1973–2005 (April 2008, based on November 2007 submission) National Cancer Institute. http://www.seer.cancer.gov

  9. Shorter NA, Glick RD, Klimstra DS, Brennan MF, LaQuaglia MP (2002) Malignant pancreatic tumors in childhood and adolescence: the Memorial Sloan-Kettering experience, 1967 to present. J Pediatr Surg 37(6):887–892

    Article  PubMed  Google Scholar 

  10. Jaksic T, Yaman M, Thorner P, Wesson D, Filler R, Shandling B (1992) A 20-year review of pediatric pancreatic tumors. J Pediatr Surg 27(10):1315–1317

    Article  CAS  PubMed  Google Scholar 

  11. Lack EE, Cassady JR, Levey R, Vawter GF (1983) Tumors of the exocrine pancreas in children and adolescents: a clinical and pathologic study of eight cases. Am J Surg Pathol 7(4):319–328

    Article  CAS  PubMed  Google Scholar 

  12. Grosfeld JL, Vane DW, Rescorla FJ, McGuire W, West KW (1990) Pancreatic tumors in childhood: analysis of 13 cases. J Pediatr Surg 25(10):1057–1062

    Article  CAS  PubMed  Google Scholar 

  13. Rebhandl W, Felberbauer FX, Puig S, Paya K, Hochschorner S, Barlan M, Horcher E (2001) Solid-pseudopapillary tumor of the pancreas (Frantz tumor) in children: report of four cases and review of the literature. J Surg Oncol 76(4):289–296

    Article  CAS  PubMed  Google Scholar 

  14. Graziosi L, Marino E, Rivellini R, Ciaccio V, Cirocchi R, Sanguinetti A, Hirota M, Avenia N, Donini A (2015) Retrospective analysis of short term outcomes after spleen-preserving distal pancreatectomy for solid pseudopapillary tumours. Int J Surg 21:S26–S29

    Article  PubMed  Google Scholar 

  15. Zhang R-C, Yan J-F, Xu X-W, Chen K, Ajoodhea H, Mou Y-P (2013) Laparoscopic vs open distal pancreatectomy for solid pseudopapillary tumor of the pancreas. World J Gastroenterol 19(37):6272–6277

    Article  PubMed  PubMed Central  Google Scholar 

  16. Nigri GR, Rosman AS, Petrucciani N, Fancellu A, Pisano M, Zorcolo L, Ramacciato G, Melis M (2011) Metaanalysis of trials comparing minimally invasive and open distal pancreatectomies. Surg Endosc 25(5):1642–1651

    Article  PubMed  Google Scholar 

  17. Waters JA, Canal DF, Wiebke EA, Dumas RP, Beane JD, Aguilar-Saavedra JR, Ball CG, House MG, Zyromski NJ, Nakeeb A (2010) Robotic distal pancreatectomy: cost effective? Surgery 148(4):814–823

    Article  PubMed  Google Scholar 

  18. Kang CM, Kim DH, Lee WJ, Chi HS (2011) Conventional laparoscopic and robot-assisted spleen-preserving pancreatectomy: does da Vinci have clinical advantages? Surg Endosc 25(6):2004–2009

    Article  PubMed  Google Scholar 

  19. Shoup M, Brennan MF, McWhite K, Leung DH, Klimstra D, Conlon KC (2002) The value of splenic preservation with distal pancreatectomy. Arch Surg 137(2):164–168

    Article  PubMed  Google Scholar 

  20. Davidson R, Wall R (2001) Prevention and management of infections in patients without a spleen. Clin Microbiol Infect 7(12):657–660

    Article  CAS  PubMed  Google Scholar 

  21. Daouadi M, Zureikat AH, Zenati MS, Choudry H, Tsung A, Bartlett DL, Hughes SJ, Lee KK, Moser AJ, Zeh HJ (2013) Robot-assisted minimally invasive distal pancreatectomy is superior to the laparoscopic technique. Ann Surg 257(1):128–132

    Article  PubMed  Google Scholar 

  22. Goh BKP, Wong JS, Chan CY, Cheow PC, Ooi L, Chung AYF (2016) First experience with robotic spleen-saving, vessel-preserving distal pancreatectomy in Singapore: a report of three consecutive cases. Singapore Med J 57(8):464–469

    Article  PubMed  PubMed Central  Google Scholar 

Download references

Funding

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

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Andreana Bütter.

Ethics declarations

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.

Consent

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.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Lalli, R., Merritt, N., Schlachta, C.M. et al. Robotic-assisted, spleen-preserving distal pancreatectomy for a solid pseudopapillary tumour in a pediatric patient: a case report and review of the literature. J Robotic Surg 13, 325–329 (2019). https://doi.org/10.1007/s11701-018-0835-0

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11701-018-0835-0

Keywords

Navigation