Role of Laparoscopic Distal Pancreatectomy for Solid Pseudopapillary Tumor
| Autor: | Rodolphe Bodin, Julien Jarry, Denis Collet, Thierry Peycru, J. Manuel Nuñez, Antonio Sa Cunha |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2012 |
| Předmět: |
Adult
medicine.medical_specialty Young Adult Pancreatectomy Quality of life Diabetes mellitus Solid and pseudopapillary tumor (SPT) medicine Scientific Papers Humans Postoperative Period Laparoscopy Pancreas Retrospective Studies Adult female medicine.diagnostic_test business.industry Incidence Distant metastasis Distal pancreatectomy (DP) Length of Stay medicine.disease Cystadenoma Papillary Surgery Solid pseudopapillary tumor Pancreatic Neoplasms Survival Rate medicine.anatomical_structure Treatment Outcome Female France Neoplasm Recurrence Local Distal pancreatectomy business Follow-Up Studies |
| Zdroj: | JSLS : Journal of the Society of Laparoendoscopic Surgeons |
| ISSN: | 1938-3797 1086-8089 |
| Popis: | Results of this study suggest that laparoscopy may offer an alternative to open surgery in the treatment of solid pseudopapillary tumors of the pancreas. Background: Since the first case report regarding laparoscopic distal pancreatectomy (DP) for solid pseudopapillary tumor (SPT), few additional articles have been published. The objective of this study was to evaluate the feasibility, safety, and long-term outcome of the laparoscopic DP based on a series of adult SPT patients. Methods: In a single-center study, we screened all adult patients undergoing a laparoscopic DP for SPT. Preoperative, operative, and postoperative data were retrospectively analysed and compared to the results of open DP for SPT published in the medical literature. Results: From April 2000 to June 2010, 5 adult female patients (median age 34 y) underwent a laparoscopic DP for an SPT. No conversion to open surgery was required. The median size of the tumor was 45 mm. The postoperative mortality rate was 0%, and serious complications (Dindo IV) occured in 2 patients. The postoperative quality of life was not significantly altered by the laparoscopic procedure. At a median follow-up of 60 mo, all patients were alive and without evidence of local recurrence, distant metastasis, diabetes, or exocrine insufficiency. Conclusion: Laparoscopy may offer an alternative to open surgery in the treatment of SPT of the distal pancreas in adult female patients. The laparoscopic procedure impacts neither the oncologic outcome nor the quality of life. However, due to the risk of postoperative complications, this procedure should be reserved for specialized centers. |
| Databáze: | OpenAIRE |
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