Diagnosis and treatment of a solid pseudopapillary tumor of the pancreas. A rare tumor in a female patient

Abstract

4). Open(41) and laparoscopic (10) surgery were used. No mortality, morbidity -15(29%), fistula Grade B -4 (8%), Spleen infarctions-7 (14%), clinically significant spleen infarctions and splenectomies-0. CT and CTA revealed three types of splenic blood supply after DSPPSVR: with gastro-epiploic arcade (GEA) as a main collateral artery (n8, 16%), with short gastric arteries (SGA) as a main collateral (n6, 12%) and intermediate type (n36, 72%). Conclusion:In SPDP SVR in 1/3 of cases only GEA or only SGA are the main collaterals, supplying the spleen, in 2/3 of cases both ways are involved. CT and CTA are mandatory before abdominal surgery for patients after SPDP SVR.