tailieunhanh - báo cáo khoa học: "A solid pseudopapillary tumor of the pancreas treated with laparoscopic distal pancreatectomy and splenectomy: a case report and review of the literature"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: A solid pseudopapillary tumor of the pancreas treated with laparoscopic distal pancreatectomy and splenectomy: a case report and review of the literature | Marinis et al. Journal of Medical Case Reports 2010 4 387 http content 4 1 387 jAg JOURNALOF medical ÌỤr case REPORTS CASE REPORT Open Access A solid pseudopapillary tumor of the pancreas treated with laparoscopic distal pancreatectomy and splenectomy a case report and review of the literature Athanasios Marinis Georgios Anastasopoulos Georgios Polymeneas Abstract Introduction Laparoscopic distal pancreatectomy has been described for more than a decade now and has been considered technically feasible safe and with reproducible outcomes. It seems to exhibit several benefits of minimally invasive surgery and should be performed in carefully selected patients. Case presentation We report the case of a 55-year-old Greek woman with a solid pseudopapillary tumor of the tail of the pancreas. She underwent a laparoscopic distal pancreatectomy and splenectomy. The histopathologic examination finally revealed a cystic-solid pseudopapillary neoplasm of the pancreas. Solid pseudopapillary tumors of the pancreas are rare and affect predominantly young women. These tumors are of unclear pathogenesis and low malignancy and surgical resection offers an excellent chance for long-term survival. Conclusion This case report indicates that in selected centers and for selected patients laparoscopic distal pancreatectomy is feasible. The benign characteristics of these tumors make them ideal for laparoscopic excision. Introduction Laparoscopic resection of the pancreas was initially described experimentally in the early 1990s 1 . The first laparoscopic pancreatoduodenectomy was reported in 1994 by Gagner et al. 2 . Laparoscopic distal pancreatectomy with or without splenectomy on the contrary may be well suited to the laparoscopic approach is technically easier because no anastomosis is required and is more widely accepted 3 . Solid pseudopapillary tumors SPTs of the pancreas are rare and affect predominantly young women. These tumors are of unclear .