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.
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References
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
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
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
Vollmer C, Dixon E, Grant D (2003) Management of a solid pseudopapillary tumor of the pancreas with liver metastases. HPB 5(4):264–267
Cuschieri A (1994) Laparoscopic surgery of the pancreas. J R Coll Physicians Edinb 39(3):178–184
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
Fernandes E, Giulianotti P (2013) Robotic-assisted pancreatic surgery. J Hepatobiliary Pancreat Sci 20(6):583–589
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
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
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
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
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
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
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
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
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
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
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
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
Davidson R, Wall R (2001) Prevention and management of infections in patients without a spleen. Clin Microbiol Infect 7(12):657–660
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
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
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Mr. Raj Lalli and Drs. Neil Merritt, Christopher M. Schlachta and Andreana Bütter declare that they have no conflict of interest.
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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
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DOI: https://doi.org/10.1007/s11701-018-0835-0