caa a22 4500 445338253 CHVBK 20180317142803.0 cr unu---uuuuu 170323e20110201xx s 000 0 eng 10.1245/s10434-010-1332-5 doi (NATIONALLICENCE)springer-10.1245/s10434-010-1332-5 Laparoscopic Pancreatectomy for Solid Pseudo-Papillary Tumors of the Pancreas is a Suitable Technique; Our Experience with Long-Term Follow-up and Review of the Literature [Elektronische Daten] [Cavallini Alvise, Butturini Giovanni, Daskalaki Despoina, Salvia Roberto, Melotti Gianluigi, Piccoli Micaela, Bassi Claudio, Pederzoli Paolo] Background: Solid pseudopapillary tumors (SPTs) are rare pancreatic neoplasms of low malignant potential that occur mainly in young women. Only 17 cases of SPT treated laparoscopically have been published in the literature and long-term follow-up data are still lacking. Methods: Retrospective analysis of ten patients (8 women, 2 men; mean age, 25.4years) (DS: 12.1; minimum 11, maximum 51) who underwent laparoscopic distal pancreatectomy with a definitive histological diagnosis of SPT. Long-term follow-up data were collected. Results: The average tumor size was 43.8mm (minimum 20, maximum 65mm). The mean operative time was 177.5 minutes (DS: 53.7; minimum 120, maximum 255). In all, five patients underwent distal splenopancreatectomy; five patients underwent spleen-preserving distal pancreatectomy of whom three with splenic vessel preservation and two with the Warshaw technique. The conversion rate was nil and no case of perioperative mortality was recorded. The mean hospital stay was 7days (DS: 2.7; minimum 4, maximum 12). Six patients had an uneventful postoperative course and four had postoperative complications. Two of them underwent reoperation, and the other two had nonsurgical complications. After a median follow-up of 47 (range, 5-98) months, all patients were alive and disease-free. Conclusions: Laparoscopic pancreatic resection is a safe and feasible procedure that could become the treatment of choice for patients affected by pancreatic SPT. Distal pancreatectomy should be performed, if possible, with spleen-preserving technique, especially in young patients. To avoid metastatic spread, laparoscopic or laparotomic biopsy should not be performed in patients affected by SPT. Society of Surgical Oncology, 2010 Alvise Cavallini Surgical Department, Chirurgia Generale B-Policlinico GB Rossi-Borgo Roma, Verona University, Verona, Italy aut Giovanni Butturini Surgical Department, Chirurgia Generale B-Policlinico GB Rossi-Borgo Roma, Verona University, Verona, Italy aut Despoina Daskalaki Surgical Department, Chirurgia Generale B-Policlinico GB Rossi-Borgo Roma, Verona University, Verona, Italy aut Roberto Salvia Surgical Department, Chirurgia Generale B-Policlinico GB Rossi-Borgo Roma, Verona University, Verona, Italy aut Gianluigi Melotti General Surgery, Baggiovara Hospital, Modena, Italy aut Micaela Piccoli General Surgery, Baggiovara Hospital, Modena, Italy aut Claudio Bassi Surgical Department, Chirurgia Generale B-Policlinico GB Rossi-Borgo Roma, Verona University, Verona, Italy aut Paolo Pederzoli Surgical Department, Chirurgia Generale B-Policlinico GB Rossi-Borgo Roma, Verona University, Verona, Italy aut Annals of Surgical Oncology Springer-Verlag 18/2(2011-02-01), 352-357 1068-9265 18:2<352 2011 18 10434 https://doi.org/10.1245/s10434-010-1332-5 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1245/s10434-010-1332-5 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Alvise Cavallini Surgical Department, Chirurgia Generale B-Policlinico GB Rossi-Borgo Roma, Verona University, Verona, Italy aut NATIONALLICENCE 700 1- Giovanni Butturini Surgical Department, Chirurgia Generale B-Policlinico GB Rossi-Borgo Roma, Verona University, Verona, Italy aut NATIONALLICENCE 700 1- Despoina Daskalaki Surgical Department, Chirurgia Generale B-Policlinico GB Rossi-Borgo Roma, Verona University, Verona, Italy aut NATIONALLICENCE 700 1- Roberto Salvia Surgical Department, Chirurgia Generale B-Policlinico GB Rossi-Borgo Roma, Verona University, Verona, Italy aut NATIONALLICENCE 700 1- Gianluigi Melotti General Surgery, Baggiovara Hospital, Modena, Italy aut NATIONALLICENCE 700 1- Micaela Piccoli General Surgery, Baggiovara Hospital, Modena, Italy aut NATIONALLICENCE 700 1- Claudio Bassi Surgical Department, Chirurgia Generale B-Policlinico GB Rossi-Borgo Roma, Verona University, Verona, Italy aut NATIONALLICENCE 700 1- Paolo Pederzoli Surgical Department, Chirurgia Generale B-Policlinico GB Rossi-Borgo Roma, Verona University, Verona, Italy aut NATIONALLICENCE 773 0- Annals of Surgical Oncology Springer-Verlag 18/2(2011-02-01), 352-357 1068-9265 18:2<352 2011 18 10434 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer