Two Pediatric Cases of Laparoscopic Spleen-Preserving Distal Pancreatectomy for Solid Pseudopapillary Neoplasm of the Pancreas
- VernacularTitle:腹腔鏡下に切除した小児膵充実性偽乳頭状腫瘍の2例
- Author:
Kosuke INADA
1
;
Yasuhiro KURUMIYA
2
;
Keisuke MIZUNO
1
;
Ei SEKOGUCHI
1
;
Gen SUGAWARA
1
;
Masaya INOUE
1
;
Takehiro KATO
1
;
Naohiro AKITA
1
;
Takayuki MINAMI
1
;
Akihiro SEKIMOTO
1
;
Akihito OGATA
1
;
Akiko OSADA
1
;
Kiyoshi WAKAO
1
Author Information
- From:Journal of the Japanese Association of Rural Medicine 2021;70(2):161-167
- CountryJapan
- Language:Japanese
- Abstract: A 14-year-old girl (Case 1) with respiratory distress during exercise was referred to our department after a pancreatic mass was detected by computed tomography (CT). Contrastenhanced CT scan showed a low-density mass measuring 2.5 × 2 cm in the body of the pancreas. Low signal intensity was seen on T1-weighted magnetic resonance imaging (MRI) and high signal intensity on T2-weighted MRI. We suspected solid-pseudopapillary neoplasm (SPN) of the pancreas and performed laparoscopy-assisted spleen-preserving distal pancreatectomy. The postoperative course was uneventful, and she was discharged on postoperative day 13. A 15-yearold girl (Case 2) with abdominal pain and fever was referred to our department after an abdominal cystic mass was detected by ultrasound examination. Contrast-enhanced CT showed a 4-cm well-circumscribed mass. Higher signal intensity was seen on T2-weighted MRI. We suspected SPN of the pancreas and performed laparoscopic spleen-preserving distal pancreatectomy. The postoperative course was uneventful, and she was discharged on postoperative day 8. Laparoscopic or laparoscopy-assisted surgery should be considered for SPN of the pancreas.
