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机器人辅助保留脾脏的远端胰腺切除术治疗小儿实性假乳头状瘤:1例病例报告及文献复习

Robotic-assisted, spleen-preserving distal pancreatectomy for a solid pseudopapillary tumour in a pediatric patient: a case report and review of the literature.

作者信息

Lalli Raj, Merritt Neil, Schlachta Christopher M, Bütter Andreana

机构信息

Division of Pediatric Surgery, London Health Sciences Centre (LHSC), Children's Hospital, Western University, Schulich School of Medicine and Dentistry, 800 Commissioners Rd East, Rm B1-188, London, ON, N6A4G5, Canada.

Division of General Surgery, LHSC, Western University, Schulich School of Medicine and Dentistry, London, ON, Canada.

出版信息

J Robot Surg. 2019 Apr;13(2):325-329. doi: 10.1007/s11701-018-0835-0. Epub 2018 Jun 8.

Abstract

Solid pseudopapillary tumour is a rare carcinoma of the pancreas with low-grade malignant potential that typically presents in females in their third decade. The tumour most commonly occurs in the tail of the pancreas, although any site can be affected. Surgical resection is the standard treatment and offers an excellent prognosis. Robotic-assisted laparoscopic surgery is an emerging technique for the treatment of pancreatic neoplasms. We report a case of a 17-year-old female with acute onset abdominal pain who was found to have a mass in the distal pancreas. A robotic-assisted laparoscopic distal pancreatectomy with spleen preservation was successfully performed, its first reported use in a pediatric patient. The patient had an uncomplicated recovery. The robotic approach can be considered for younger patients presenting with a solid pseudopapillary tumour in the distal pancreas.

摘要

实性假乳头状瘤是一种罕见的胰腺肿瘤,具有低度恶性潜能,通常在30岁左右的女性中出现。该肿瘤最常发生于胰尾,不过任何部位都可能受累。手术切除是标准治疗方法,预后良好。机器人辅助腹腔镜手术是一种治疗胰腺肿瘤的新兴技术。我们报告一例17岁急性腹痛女性患者,发现其胰腺远端有一肿块。成功实施了保留脾脏的机器人辅助腹腔镜远端胰腺切除术,这是首次报道该技术用于儿科患者。患者恢复顺利。对于胰腺远端出现实性假乳头状瘤的年轻患者,可考虑采用机器人手术方法。

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