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Minimally invasive (laparoscopic and robot‐assisted) approach for solid pseudopapillary tumor of the distal pancreas: a single‐center experience
Author(s) -
Kang Chang Moo,
Choi Sung Hoon,
Hwang Ho Kyoung,
Lee Woo Jung,
Chi Hoon Sang
Publication year - 2011
Publication title -
journal of hepato‐biliary‐pancreatic sciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.63
H-Index - 60
eISSN - 1868-6982
pISSN - 1868-6974
DOI - 10.1007/s00534-010-0316-y
Subject(s) - medicine , perioperative , distal pancreatectomy , surgery , pancreas , laparoscopy , splenectomy , single center , retrospective cohort study , laparoscopic surgery , pancreatectomy , robotic surgery , general surgery , spleen
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.