P Senthilnathan, R Parthasarathi, S Rajapandian, Anand Vijay, V P Nalankilli, Sandeep Sabnis, Kailash Chandra dhaker, C Palanivelu. GEM Hospital & Research Centre
Background: Solid pseudopapillary tumour (SPT) of the pancreas, which predominantly affects young women, is a relatively indolent entity with favourable prognosis. The aim of this study is to describe laparoscopic surgical management of this rare disease in our institution.
Method: A retrospective study of clinical data from 19 consecutive patients with SPT managed in a tertiary academic centre between March 2009 and October 2015 was performed.
Result: The 19 cases included 17 female and 2 male patients, and the average age was 26.1 years (range 11 to 41). The most common presenting symptom was abdominal pain (10 patients). Tumors were incidentally found in 3 patients on computed tomography scans obtained for other reasons. One patient was diagnosed during an evaluation of trivial blunt trauma abdomen. Radiological pre operative diagnosis was confirmed in 13 patients while one patient had preoperative biopsy confirmation.. The neoplasm was localized in the pancreatic head/neck in 6 patients and in the body/tail in 13 patients.
The median diameter of these lesions was 7.5 cm (range 2 to 13). 4 patients underwent pancreaticoduodenectomy, 12 patients underwent distal pancreatectomy, 2 patients underwent central pancreatectomy and one enucleation, all were performed successfully by laparoscopy. One distal pancreatectomy procedure was converted to open for superior mesenteric vein reconstruction & 4 have undergone peripancreatic lymphadenectomy. Splenic artery involvement was seen in 5 patients. Median length of stay was 6.5 days (5-28 days).
Conclusion: SPT is a rare neoplasm with low malignant potential and has an excellent prognosis. In our experience, laparoscopic surgical resection is safe and feasible in SPT of pancreas.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 80840
Program Number: P088
Presentation Session: Poster (Non CME)
Presentation Type: Poster