title: [Surgical management and outcome of solid-pseudopapillary tumor of pancreas: a series of 58 cases].
abstract: OBJECTIVE
  To study the surgical management of solid-pseudopapillary tumor of the pancreas (SPTP) and its characteristics of outcome.
  
  
  METHODS
  Fifty-eight patients with SPTP of the pancreas admitted from January 2001 to December 2010 were retrospectively analyzed. There were 7 male and 51 female patients, with an average age of 30 years (ranging 9 to 70 years). Most patients were symptomatic before admission; the most common symptom was abdominal pain. Of the 58 patients, 21 patients underwent pancreaticoduodenectomy, 30 patients underwent distal pancreatectomy, 6 patients underwent central pancreatectomy, 1 patient underwent simple tumor enucleation, and 1 patients underwent duodenum-preserving pancreatic head resection.
  
  
  RESULTS
  The average length of stay in hospital was 23.8 days (ranging 12 to 64 days). Thirteen patients (22.4%) developed postoperative complications, including grade A postoperative pancreatic fistula of 8 cases, gastrointestinal tract bleeding of 1 case, pleural effusion of 2 cases, wound infection and fat liquefaction of 2 cases. Two patients underwent reoperation due to gastrointestinal tract bleeding or wound infection. There was no hospital death. Forty-four patients were followed-up for 7 to 136 months with an average of 41 months. All the 44 patients were alive, while 8 patients developed dyspepsia and 4 patients developed diabetes mellitus. There were no tumor recurrences or metastasis.
  
  
  CONCLUSIONS
  SPTP is found primarily in young women. Excellent prognosis would be achieved with surgical resection.
authors.affiliation: Hospital and Institute of Hepatobiliary Surgery, Chinese People's Liberation Army General Hospital, Beijing 100853, China.
authors.forename: Yong-liang
authors.initials: YL
authors.lastname: Chen
authors.forename: Zhi-qiang
authors.initials: ZQ
authors.lastname: Huang
authors.forename: Jia-hong
authors.initials: JH
authors.lastname: Dong
authors.forename: Wen-zhi
authors.initials: WZ
authors.lastname: Zhang
authors.forename: Xiao-qiang
authors.initials: XQ
authors.lastname: Huang
authors.forename: Yan-bin
authors.initials: YB
authors.lastname: Wang
authors.forename: Ming-yi
authors.initials: MY
authors.lastname: Chen
authors.forename: Jian
authors.initials: J
authors.lastname: Feng
authors.forename: Zhi-wei
authors.initials: ZW
authors.lastname: Liu
authors.forename: Tao
authors.initials: T
authors.lastname: Wan
authors.forename: Jian-jun
authors.initials: JJ
authors.lastname: Leng
authors.forename: Ji-ye
authors.initials: JY
authors.lastname: Chen
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002291:Carcinoma, Papillary / Q000601:surgery*; D002648:Child; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D010180:Pancreatectomy / Q000379:methods; D010190:Pancreatic Neoplasms / Q000601:surgery*; D016577:Pancreaticoduodenectomy; D012189:Retrospective Studies; D016896:Treatment Outcome; D055815:Young Adult