title: Laparoscopic spleen-preserving distal pancreatectomy for solid pseudopapillary tumor with conservation of splenic vessels in a child.
abstract: Laparoscopic spleen-preserving distal pancreatectomy (LSDP) with conservation of the splenic vessels is gaining acceptance as a reliable treatment for selected patients with low-grade malignant tumors of the pancreas in adults. The operation requires advanced laparoscopic skills to safely divide the fine branches of the splenic vessels. Laparoscopic spleen-preserving distal pancreatectomy with conservation of splenic vessels is rarely reported in children. We describe a 12-year-old girl with solid pseudopapillary tumor in the body of the pancreas that was successfully treated with LSDP, preserving the splenic vessels. The postoperative course was uneventful, and the functional and aesthetic results were satisfactory. Laparoscopic spleen-preserving distal pancreatectomy with conservation of splenic vessels may be a safe and feasible treatment option for children with pancreatic disease.
authors.affiliation: Department of Pediatric Surgery, Saitama Children's Medical Center, Iwatsuki, Saitama, Saitama 339-8551, Japan. uchida.hiroo@pref.saitama.lg.jp
authors.forename: Hiroo
authors.initials: H
authors.lastname: Uchida
authors.forename: Chikashi
authors.initials: C
authors.lastname: Goto
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Kishimoto
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Kawashima
authors.forename: Kaori
authors.initials: K
authors.lastname: Sato
authors.forename: Mariko
authors.initials: M
authors.lastname: Yoshida
authors.forename: Syunnya
authors.initials: S
authors.lastname: Takazawa
mesh_terms: D002291:Carcinoma, Papillary / Q000473:pathology / Q000601:surgery*; D002648:Child; D005260:Female; D006801:Humans; D010535:Laparoscopy; D019060:Minimally Invasive Surgical Procedures; D010180:Pancreatectomy / Q000379:methods*; D010190:Pancreatic Neoplasms / Q000473:pathology / Q000601:surgery*; D013154:Spleen / Q000098:blood supply*; D013162:Splenic Vein