Short-term complications and long-term outcomes of spleen-preserving distal pancreatectomy in pediatric pancreatic tumors
10.3760/cma.j.issn.1007-631X.2019.03.003
- VernacularTitle:儿童保留脾脏的胰体尾肿瘤切除术近期并发症及远期疗效分析
- Author:
Hong QIN
1
;
Shen YANG
;
Wei YANG
;
Wei HAN
;
Haiyan CHENG
;
Xiaofeng CHANG
;
Zhiyun ZHU
;
Huanmin WANG
Author Information
1. 国家儿童医学中心首都医科大学附属北京儿童医院肿瘤外科
- Keywords:
Pancreatic neoplasms;
Child;
Postoperative complications;
Prognosis
- From:
Chinese Journal of General Surgery
2019;34(3):200-203
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the short-term complications and long-term outcomes of spleenpreserving distal pancreatectomy (SPDP) in pediatric pancreatic tumors.Methods A retrospective analysis was conducted on 43 patients with tumors of the body and tail of the pancreas in Beijing Children's Hospital from Jan 2007 to Jan 2018.Results There were 17 boys (39.53%) and26girls (60.47%),with a median age of 123 (80,141) months.The median maximum diameter of primary tumor was 7.60 cm.Diagnoses included solid pseudopapillary tumor (n =28),pancreatoblastoma (n =10),neuroendocrine tumor (n =4),and pancreatic cyst (n =1).Two cases (4.65%) received tumor enucleation,4 cases (9.30%) did distal pancreatectomy plus splenectomy,and 37 cases (86.05%) did SPDP.16 cases (37.21%) had short-term complications,including pancreatic fistula (n =13),delayed gastric emptying (n =3),abdominal infection (n =7) and postoperative bleeding (n =2).After a median follow-up of 46 (23,71) months,38 cases (88.37%) were disease-free;two cases (4.65%) with tumor recurrence;one case of pancreatoblastoma died of tumor recurrence.Two cases lost to follow-up.Three patients had long-term complications,including chronic fatty diarrhea (n =2) and hypoglycemia (n =1).Three patients underwent second operation for recurrent tumor (one pancreatoblastoma and two solid pseudopapillary tumor).Conclusions SPDP is safe and effective in the treatment of tumors of the body and tail of the pancreas in children.