Solid Pseudopapillary Neoplasm of the Pancreas

Carlotto, Jorge Roberto Marcante; Torrez, Franz Robert Apodaca; Gonzalez, Adriano Miziara; Linhares, Marcelo Moura; Triviño, Tarcísio; Herani-Filho, Benedito; Goldenberg, Alberto; Filho, Gaspar de Jesus Lopes; Lobo, Edson José

doi:10.1590/0102-6720201600020007

Cited by 24 publications

(18 citation statements)

References 24 publications

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“…A partir de então, aproximadamente 800 casos foram descritos na literatura científica. Estima se que esses tumores sejam responsáveis por 0,3% a 2,7% de todas as neoplasias pancreáticas 1,5 . Usualmente acometem pacientes jovens, do sexo feminino, na terceira década de vida, em uma proporção de 10:1 6,7 .…”

Section: Discussionunclassified

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Neoplasia Pseudopapilífera Sólida de Pâncreas (Tumor de Frantz): Relato de Caso

Monção

Dias

Alcântara

et al. 2020

Rev. Bras. Cancerol.

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Introdução: A neoplasia pseudopapilífera sólida de pâncreas (tumor de Frantz) é muito rara e representa menos de 1% de todos os tumores pancreáticos. Relato do caso: Paciente do sexo feminino, 48 anos, internada para investigação de massa intra-abdominal de etiologia a esclarecer. Foi submetida a tratamento cirúrgico com sucesso na ressecção tumoral e não apresentou complicações no pós-operatório. Os pacientes usualmente tornam-se sintomáticos somente após longos períodos de evolução, quando então apresentam desconforto ou dor abdominal, ou a palpação de massas abdominais no exame físico. Para o diagnóstico, são necessários exames de imagem como ultrassonografia e tomografia computadorizada, que geralmente evidenciam volumosas massas heterogêneas intra-abdominais. É necessária a confirmação com estudo anatomopatológico e comumente estas possuem características histológicas compatíveis com tumores de baixo grau de malignidade. A ressecção cirúrgica é o tratamento recomendado e mesmo os tumores de grandes dimensões possuem chances de curas consideráveis, se for possível obter margens cirúrgicas livres. Sabe-se que a ressecção tumoral completa é associada a longos períodos de sobrevida. Conclusão: A neoplasia pseudopapilífera sólida de pâncreas (tumor de Frantz), apesar de rara, deve ser considerada no diagnóstico diferencial de tumores de pâncreas, já que o tratamento cirúrgico apresenta boas chances de cura mesmo em tumores de grandes dimensões.

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Section: Discussionunclassified

“…Pode-se optar por cirurgia laparoscópica, dependendo da localização do tumor no parênquima pancreático, das dimensões da neoplasia e da experiência da equipe. A complicação mais comum no pós-operatório são as fístulas pancreáticas 5 .…”

Section: Discussionunclassified

Neoplasia Pseudopapilífera Sólida de Pâncreas (Tumor de Frantz): Relato de Caso

Monção

Dias

Alcântara

et al. 2020

Rev. Bras. Cancerol.

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“…Laparoscopy has now been introduced as a therapeutic option for treating the majority of digestive system diseases and for other surgical areas, including for more complex procedures, such as hepatobiliopancreatic surgery. Laparoscopic pancreatic surgery began with resection of small and benign lesions (enucleation) and progressed to caudal, total, central and duodenal pancreatectomy procedures 3 , 11 , 12 , 19 . Despite all the technical difficulties inherent to pancreatic surgery, laparoscopic distal pancreatectomy has been gradually included in the routine of various services because their results are similar to those from laparotomy, including in cases of malignant disease 8 , 18 .…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic Distal Pancreatectomy With Spleen Preservation

Pais-Costa¹,

Sousa²,

Araujo³

et al. 2018

ABCD, arq. bras. cir. dig.

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Background:Laparoscopic distal pancreatectomy has been the choice for resection of distal pancreas lesions due many advantages over open approach. Spleen preservation technique seems minimizes infectious complications in long-term outcome. Aim:To present the results of laparoscopic distal pancreatectomies with spleen preservation by Kimura´s technique (preservation of spleen blood vessels) performed by single surgical team. Methods:Retrospective case series aiming to evaluate both short and long-term outcomes of laparoscopic distal pancreatectomies with spleen preservation. Results: A total of 54 laparoscopic distal pancreatectomies were performed, in which 26 were laparoscopic distal pancreatectomies with spleen preservation by Kimura´s technique. Mean age was 47.9 years-old (21-75) where 61.5% were female. Mean BMI was 28.5 kg/m² (18-38.8). Mean diameter of lesion was 4.3 cm (1.8-7.5). Mean operative time was 144.1 min (90-200). Intraoperative bleeding was 119.2 ml (50-600). Conversion to laparotomy 3% (n=1). Postoperative morbidity was 11.5%. Postoperative mortality was null. Mean of hospital stay was 4.8 days (2-14). Mean time of follow-up period was 19.7 months (2-60). There was no neoplasm recurrence or mortality on evaluated period. There was no infectious complication. Conclusion:Laparoscopic distal pancreatectomy with spleen and splenic vessels preservation is feasible, safe, and effective procedure. This technique presented both low morbidity and null mortality on this sample. There were neither infectious complications nor neoplasm recurrence on long-term follow-up period.

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“…Surgical resection is the treatment of choice of pancreatic malignancies. Tumors of the head and uncinated process of the pancreas are usually resected by pancreaticoduodenectomy 1 , 2 , 7 . Since 1996, new techniques were designed in order to treat benign or low grade non-invasive pancreatic malignancies located in those anatomic locations 3 , 6 , 11 .…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic Uncinatectomy: A More Conservative Approach to the Uncinate Process of the Pancreas

Surjan

Bassères

Makdissi

et al. 2017

ABCD, arq. bras. cir. dig.

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Background: The isolate resection of the uncinate process of the pancreas is a rarely described procedure but is an adequate surgery to treat benign and low grade malignancies of the uncinate process of the pancreas. Aim: To detail laparoscopic uncinatectomy technique and present the initial results. Method: Patient is placed in supine position with the surgeon between legs. Three 5-mm, one 10-mm and one 12-mm trocars were used to perform the isolated resection of the uncinate process of the pancreas. Parenchymal transection is performed with harmonic scalpel. A hemostatic absorbable tissue is deployed over the area previously occupied by the uncinate process. A Waterman drain is placed. Result: This procedure was applied to an asymptomatic 62-year-old male with biopsy proven low grade neuroendocrine tumor of the pancreatic uncinate process. A laparoscopic pancreaticoduodenectomy was proposed. During the initial surgical evaluation, intraoperative sonography was performed and disclosed that the lesion was a few millimeters away from the Wirsung. The option was to perform a laparoscopic uncinatectomy. Postoperative period until full recovery was swift and uneventful. Conclusion: Laparoscopic uncinatectomy is a safe and efficient procedure when performed by surgical teams with large experience in minimally invasive biliopancreatic procedures.

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Solid Pseudopapillary Neoplasm of the Pancreas

Cited by 24 publications

References 24 publications

Neoplasia Pseudopapilífera Sólida de Pâncreas (Tumor de Frantz): Relato de Caso

Neoplasia Pseudopapilífera Sólida de Pâncreas (Tumor de Frantz): Relato de Caso

Laparoscopic Distal Pancreatectomy With Spleen Preservation

Laparoscopic Uncinatectomy: A More Conservative Approach to the Uncinate Process of the Pancreas

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