Laparoscopic distal pancreatectomy to treat solid pseudopapillary tumors in children: transition from open to laparoscopic approaches in suitable cases

Purpose The aim of this study was to evaluate the outcomes of open and laparoscopic distal pancreatectomy (LDP) in the treatment of solid pseudopapillary tumors (SPT) in children. Methods This was a retrospective study of 22 patients under 18 years of age who underwent a distal pancreatectomy for SP...

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Bibliographic Details
Published in:Pediatric surgery international 2014-03, Vol.30 (3), p.259-266
Main Authors: Namgoong, Jung-Man, Kim, Dae-Yeon, Kim, Seong-Chul, Kim, Song-Cheol, Hwang, Ji-Hee, Song, Ki-Byung
Format: Article
Language:English
Subjects:
Child
Feasibility Studies
Humans
Laparoscopy - methods
Length of Stay - statistics & numerical data
Medicine
Medicine & Public Health
Original Article
Pancreatectomy - methods
Pancreatic Neoplasms - surgery
Pediatric Surgery
Pediatrics
Postoperative Complications
Retrospective Studies
Surgery
Treatment Outcome
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Summary:Purpose The aim of this study was to evaluate the outcomes of open and laparoscopic distal pancreatectomy (LDP) in the treatment of solid pseudopapillary tumors (SPT) in children. Methods This was a retrospective study of 22 patients under 18 years of age who underwent a distal pancreatectomy for SPT between January 1995 and December 2012. Results Fourteen patients and eight patients underwent LDP and open distal pancreatectomy (ODP), respectively, and 71.4 % of the LDP and 25.0 % of the ODP procedures were spleen-sparing operations. The median duration of surgery in the LDP group was shorter than that in the ODP group [175 (range 120–540) vs. 257 (range 200–305) min, p  = 0.024]. There were no differences in postoperative complications. The LDP patients commenced oral intake earlier than the ODP patients [2.0 (range 1.0–7.0) vs. 4.0 (range 3.0–12.0) days, p  = 0.010], and had an earlier discharge from hospital [7.0 (range 5.0–20.0) vs. 13.0 (range 7.0–22.0) days, p  = 0.009]. Conclusion LDP treatment for SPT in children is associated with a shorter hospitalization and a shorter time to oral intake compared to ODP. LDP is a safe and feasible option for SPT in select pediatric patients.
ISSN:0179-0358
1437-9813
DOI:10.1007/s00383-014-3471-4