Kawakubo Naonori, Takemoto Junkichi, Irie Keiko, Souzaki Ryota, Maniwa Junnosuke, Obata Satoshi, Yoshimaru Koichiro, Nagata Kouji, Miyata Junko, Matsuura Toshiharu, Tajiri Tatsuro
Department of Pediatric Surgery, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
Pediatr Int. 2023 Jan-Dec;65(1):e15666. doi: 10.1111/ped.15666.
The aim of this study was to clarify the characteristics and outcomes of pediatric patients with solid pseudopapillary neoplasms (SPNs) who underwent pancreatectomy.
Pediatric patients with SPNs who underwent pancreatectomy at our institution between 1995 and 2020 were included in the study.
During the period under review, 12 patients underwent pancreatectomy for SPNs (median age: 10 years; range: 6-15 years). The surgical procedures included pancreatoduodenectomy (n = 2; 16.6%), distal pancreatectomy (n = 3; 25%), and enucleation (n = 7; 58.3%). The most common postoperative complication was postoperative pancreatic fistula (n = 6; 50%). Patients who underwent enucleation tended to have higher postoperative complication rates compared with those who underwent other procedures. All patients were alive without recurrence at the end of the study period.
SPN is associated with a good prognosis, regardless of the surgical procedure. If surgeons select enucleation for pediatric SPNs, they should bear in mind that it is associated with a higher complication rate.
本研究的目的是阐明接受胰腺切除术的实性假乳头状肿瘤（SPN）儿科患者的特征和预后。
本研究纳入了1995年至2020年间在我们机构接受胰腺切除术的SPN儿科患者。
在审查期间，12例患者因SPN接受了胰腺切除术（中位年龄：10岁；范围：6 - 15岁）。手术方式包括胰十二指肠切除术（n = 2；16.6%）、胰腺远端切除术（n = 3；25%）和摘除术（n = 7；58.3%）。最常见的术后并发症是术后胰瘘（n = 6；50%）。与接受其他手术的患者相比，接受摘除术的患者术后并发症发生率往往更高。在研究期结束时，所有患者均存活且无复发。
无论手术方式如何，SPN的预后良好。如果外科医生为儿科SPN选择摘除术，应牢记其并发症发生率较高。
