Introduction: Total pancreatectomy is the treatment of choice for multicentric diseases involving the pancreas. Middle-preserving pancreatectomy is a recently reported alternative procedure when the pancreatic body is spared from disease.
Presentation Of Case: We report a 63-year old lady who underwent a combined Whipple's operation and distal splenopancreatectomy for her synchronous ampullary carcinoma and solid-pseudopapillary tumor of the distal pancreas.
Discussion: For multiple tumors of the pancreas, the choice of surgery should be based on the nature of pathology and follow the principle of oncological resection.
Conclusion: Middle-preserving pancreatectomy is a safe and feasible option for patient with multicentric or synchronous pancreatic pathologies.
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| http://dx.doi.org/10.1016/j.ijscr.2011.08.007 | DOI Listing |
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Middle-Preserving Pancreatectomy for Multicentric Solid Pseudopapillary Neoplasm in a 10-Year-Old Female.
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January 2024
Departments of Surgery, Pediatrics, and Biomedical Engineering, University of Rochester Medical Center, Rochester, New York.
Article Synopsis
- Solid pseudopapillary neoplasm (SPN) is a rare, low-grade malignant pancreatic tumor mostly found in young females and can sometimes be multicentric, making surgery more challenging.
- A case study highlights a 10-year-old girl with multicentric SPN in the pancreas who successfully underwent a middle-preserving pancreatectomy, a unique surgical approach that helps maintain pancreatic function.
- The growing number of SPN cases points to the need for pancreas-preserving surgical options, especially for pediatric patients to avoid major complications like pancreatic insufficiency.
Objective: To evaluate the outcomes in patients undergoing surgery for metastatic renal cell carcinoma (RCC) to the pancreas.
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Department of General and Digestive Surgery, Ehime Prefectural Central Hospital, 83 Kasuga-cho, Matsuyama, Ehime 770-8503 Japan.
Multifocal or continuous pancreatic lesion is identified frequently but finding an appropriate surgical approach is quite challenging. Total pancreatectomy is a useful procedure. However, postoperative endocrine and exocrine disturbance is inevitable.
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Department of Cardiovascular and Gastroenterological Surgery, Graduate School of Medical and Dental Sciences, Kagoshima University, 8-35-1 Sakuragaoka, Kagoshima, 890-8520, Japan,
Parenchyma-sparing pancreatic resections have been reported increasingly in recent years; however, for multifocal diseases involving the head and the tail of the pancreas, total pancreatectomy is still the preferred procedure. The possible consequence of this procedure is loss of normal pancreatic parenchyma, resulting in insufficiency of pancreatic exocrine and endocrine functions. Various types of limited resection have been introduced for isolated or multiple pancreatic lesions, depending on the location of the tumor.
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Department of General Surgery, Rui Jin Hospital, Shanghai Jiao Tong University School of Medicine, 197, Ruijin Er Road, Shanghai 200025, China.
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