Top

Journal of Medical Case Reports

Published in:

Open Access 01-12-2010 | Case report

A solid pseudopapillary tumor of the pancreas treated with laparoscopic distal pancreatectomy and splenectomy: a case report and review of the literature

Authors: Athanasios Marinis, Georgios Anastasopoulos, Georgios Polymeneas

Published in: Journal of Medical Case Reports | Issue 1/2010

Abstract

Introduction

Laparoscopic distal pancreatectomy has been described for more than a decade now and has been considered technically feasible, safe, and with reproducible outcomes. It seems to exhibit several benefits of minimally invasive surgery and should be performed in carefully selected patients.

Case presentation

We report the case of a 55-year-old Greek woman with a solid pseudopapillary tumor of the tail of the pancreas. She underwent a laparoscopic distal pancreatectomy and splenectomy. The histopathologic examination finally revealed a cystic-solid pseudopapillary neoplasm of the pancreas. Solid pseudopapillary tumors of the pancreas are rare and affect predominantly young women. These tumors are of unclear pathogenesis and low malignancy, and surgical resection offers an excellent chance for long-term survival.

Conclusion

This case report indicates that in selected centers and for selected patients, laparoscopic distal pancreatectomy is feasible. The benign characteristics of these tumors make them ideal for laparoscopic excision.

Available only for authorised users

Soper NJ, Brunt LM, Dunnegan DL, Meiniger TA: Laparoscopic distal pancreatectomy in the porcine model. Surg Endosc. 1994, 8: 57-60. 10.1007/BF02909495.CrossRefPubMed

Gagner M, Pomp A: Laparoscopic pylorus-preserving pancreatoduodenectomy. Surg Endosc. 1994, 8: 408-410. 10.1007/BF00642443.CrossRefPubMed

Palanivelu C, Shetty R, Jani K, Sendhikumar K, Rajan PS, Maheshkumar GS: Laparoscopic distal pancreatectomy: results of a prospective nonrandomized study from a tertiary center. Surg Endosc. 2007, 21: 373-377. 10.1007/s00464-006-9020-z.CrossRefPubMed

Papavramidis T, Papavramidis S: Solid pseudopapillary tumors of the pancreas: review of 718 patients reported in English literature. J Am Coll Surg. 2005, 6: 965-972. 10.1016/j.jamcollsurg.2005.02.011.CrossRef

Apostolidis S, Papavramidis TS, Zatagias A, Michalopoulos A, Papadopoulos VN, Paramythiotis D, Harlaftis N: Hematemesis, a very rare presentation of solid pseudo-papillary tumors of the pancreas: a case report. J Med Case Rep. 2008, 2: 271-10.1186/1752-1947-2-271.CrossRefPubMedPubMedCentral

Klimstra DS, Wenig BM, Heffess CS: Solid-pseudopapillary tumor of the pancreas: a typically cystic carcinoma of low malignant potential. Semin Diagn Pathol. 2000, 17: 66-80.PubMed

Papavramidis TS, Pliakos I, Michalopoulos N, Karayanopoulou G, Kesisoglou I, Tzioufa V, Papavramidis S: Asolid pseudo-papillary tumor of the pancreas. Ann Gastroenterol. 2008, 21: 242-244.

Carricaburu E, Enezian G, Bonnard A, Berrebi D, Belarbi N, Huot O, Aigrain Y, de Lagausie P: Laparoscopic distal pancreatectomy for Frantz's tumor in a child. Surg Endosc. 2003, 17: 2028-2031. 10.1007/s00464-003-4222-0.CrossRefPubMed

Melotti G, Butturini G, Piccoli M, Casetti L, Bassi C, Mullineris B, Lazzaretti MG, Pederzoli P: Laparoscopic distal pancreatectomy: results on a consecutive series of 58 patients. Ann Surg. 2007, 246: 77-82. 10.1097/01.sla.0000258607.17194.2b.CrossRefPubMedPubMedCentral

10.

Kang CM, Kim HG, Kim KS, Choi JS, Lee WJ, Kim BR: Laparoscopic distal pancreatectomy for solid pseudopapillary neoplasm of the pancreas: report of two cases. Hepatogastroenterology. 2007, 54: 1053-1056.PubMed

11.

Mabrut JY, Fernandez-Cruz L, Azagra JS, Bassi C, Delvaux G, Weerts J: Hepatobiliary and pancreatic section (HBPS) of the Royal Belgian Society of Surgery; Belgian group for Endoscopic Surgery (BGES); Club Coelio: laparoscopic pancreatic resection: results of a multicenter European study of 127 patients. Surgery. 2005, 137: 597-605. 10.1016/j.surg.2005.02.002.CrossRefPubMed

12.

Bassi C, Dervenis C, Butturini G, Fingerhut A, Yeo C, Izbicki J, Neoptolemos J, Sarr M, Traverso W, Buchler M, for the International Study Group on Pancreatic Fistula Definition: Postoperative pancreatic fistula: an international study group (ISGPF) definition. Surgery. 2005, 138: 8-13. 10.1016/j.surg.2005.05.001.CrossRefPubMed

13.

Baker MS, Bentrem DJ, Ujiki MB, Stocker S, Talamonti MS: A prospective single institution comparison of peri-operative outcomes for laparoscopic and open distal pancreatectomy. Surgery. 2009, 146: 635-643. 10.1016/j.surg.2009.06.045.CrossRefPubMed

14.

Nakamura Y, Uchida E, Aimoto T, Matsumoto S, Yoshida H, Tajiri T: Clinical outcome of laparoscopic distal pancreatectomy. J Hepatobiliary Pancreat Surg. 2009, 16: 35-41. 10.1007/s00534-008-0007-0.CrossRefPubMed

15.

Schwartz RE, Harisson LE, Conlon KC, Klimstra DS, Brennan MF: The impact of splenectomy on outcomes after resection of pancreatic adenocarcinoma. J Am Coll Surg. 1999, 188: 516-521. 10.1016/S1072-7515(99)00041-1.CrossRef

16.

Lillemoe KD, Kaushal S, Cameron JL, Sohn TA, Pitt HA, Yeo CJ: Distal pancreatectomy: indications and outcomes in 235 patients. Ann Surg. 1999, 229: 693-698. 10.1097/00000658-199905000-00012.CrossRefPubMedPubMedCentral

17.

Andren-Sandberg A, Wagner M, Tihanyi T, Lofgren P, Fries H: Technical aspects of left-sided pancreatic resection for cancer. Dig Surg. 1999, 16: 305-312. 10.1159/000018740.CrossRefPubMed

18.

Benoist S, Dugue L, Sauvanet A, Valverde A, Mauvais F, Paye F, Farges O, Belghiti J: Is there a role of preservation of the spleen in distal pancreatectomy?. J Am Coll Surg. 1999, 188: 255-260. 10.1016/S1072-7515(98)00299-3.CrossRefPubMed

19.

Frantz VK: Tumors of the pancreas. Atlas of tumor pathology. 1953, Washington, DC: Armed Forces Institute of Pathology, 32-33.

Title: A solid pseudopapillary tumor of the pancreas treated with laparoscopic distal pancreatectomy and splenectomy: a case report and review of the literature
Authors: Athanasios Marinis
Georgios Anastasopoulos
Georgios Polymeneas
Publication date: 01-12-2010
Publisher: BioMed Central
Published in: Journal of Medical Case Reports / Issue 1/2010
Electronic ISSN: 1752-1947
DOI: https://doi.org/10.1186/1752-1947-4-387

Keynote webinar | Spotlight on medication adherence

Springer Medicine

A solid pseudopapillary tumor of the pancreas treated with laparoscopic distal pancreatectomy and splenectomy: a case report and review of the literature

Abstract

Introduction

Case presentation

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction

Case presentation

Conclusion

Please log in to get access to this content

Other articles of this Issue 1/2010

Successful medical management of emphysematous gastritis with concomitant portal venous air: a case report

A rare cause of chronic mesenteric ischemia from fibromuscular dysplasia: a case report

Soft-tissue perineurioma of the retroperitoneum in a 63-year-old man, computed tomography and magnetic resonance imaging findings: a case report

Hashimoto's encephalopathy presenting with neurocognitive symptoms: a case report

Successful management of refractory pleural effusion due to systemic immunoglobulin light chain amyloidosis by vincristine adriamycin dexamethasone chemotherapy: a case report

Diagnosis of systemic toxoplasmosis with HIV infection using DNA extracted from paraffin-embedded tissue for polymerase chain reaction: a case report