Hand-assisted laparoscopy for solid pseudopapillary neoplasms of the pancreas: a case report

Abstract

Solid pseudopapillary neoplasms （SPN） of the pancreas are a type of mostly single and rare low-grade malignant tumors, which are mainly treated by surgery. In this article, the diagnosis and treatment of one case of SPN who was treated using hand-assisted laparoscopy were reported. The 29-year-old woman patient was admitted to the hospital due to retrosternal pain accompanied by suppressed discomfort for more than 3 months. Enhanced abdominal CT revealed cystic space-occupying lesions between the spleen and pancreas （approximately 5.4 cm×3.7 cm）. Hand-assisted laparoscopic caudal pancreatic resection combined with splenectomy was performed. The diagnosis of SPN was confirmed by postoperative pathology. The patient had anal exhaust and feeding fluid at 3 days after surgery,and she was discharged at 1 week after surgery. No tumor recurrence was observed during 8 months of follow-up. This case provides clinical reference for the treatment of SPN in China.

Keywords

• |hand-assisted laparoscopic surgery|pancreas|solid pseudopapillary neoplasm|ct