Single center experience in surgical resection of pediatric pancreatic tumors
10.3760/cma.j.cn113884-20241030-00322
- VernacularTitle:儿童胰腺肿瘤手术切除单中心经验总结
- Author:
Gang SHEN
1
;
Yunpeng ZHAI
1
;
Huashan ZHAO
1
;
Hongxiu XU
1
;
Rui GUO
1
;
Sai HUANG
1
;
Shisong ZHANG
1
Author Information
1. 山东大学附属儿童医院（济南市儿童医院）胸外肿瘤外科，济南 250022
- Publication Type:Journal Article
- Keywords:
Pancreatic neoplasms;
Surgical treatment;
Child
- From:
Chinese Journal of Hepatobiliary Surgery
2025;31(2):111-115
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To summarize the surgical management strategy for pediatric pancreatic tumors.Methods:Clinical data of 17 children with pancreatic tumors who underwent surgical treatment in Children's Hospital Affiliated to Shandong University from January 2018 to April 2024 were retrospectively analyzed, including 6 males and 11 females, ranging in age from 1 month to 13 years, with a median age of 10 years and 2 months. The data of tumor length and diameter, tumor location, surgical method and postope-rative pathology were analyzed. The prognostic data of all children were followed up by regular telephone and outpatient follow-up.Results:In 17 cases, the tumor diameter was (7.3±2.2) cm, 10 cases were located in the head of the pancreas, 7 cases were located in the tail of the pancreatic body, 1 case was accompanied by liver metastasis, and 1 case was accompanied by left adrenal invasion. Among these cases, 10 cases had pancreatic head tumor, 6 cases had simple pancreatic tumor resection, 1 case had laparoscopic pancreatic tumor resection, and 3 cases had pancreatic head resection plus pancreato-jejunal Roux-en-Y anastomosis. Among the 7 cases of pancreatic body and tail tumors, 3 cases underwent pancreatic body and tail resection, 1 case underwent laparoscopic pancreatic body and tail resection, 1 case underwent tumor resection, 1 case underwent pancreatic body and tail resection plus splenectomy plus hepatic metastasis resection, 1 case underwent pancreatic body and tail resection plus left adrenal resection plus splenectomy. Postoperative pathology showed that there were 13 cases of solid pseudopapilloma, 3 cases of pancreatic blastoma, and 1 case of pancreatic cyst. The median follow-up time was 36 months (2-71 months). All patients survived well.Conclusion:Solid pseudopapillary of the pancreas is the most common type of pancreatic tumor in children, with surgical resection being the first choice of of treatment, offering a favorable prognosis postope-ratively.
