Tumor sólido pseudopapilar del páncreas: estudio descriptivo de una serie de casos

Abstract

Solid pseudopapilary tumors of the pancreas: descriptive study of a case series Background: Rare neoplasm that occurs most often in young women, neoplasm with low degree of malignancy. Aim: to describe the clinical characteristics and postoperative results and long-term in a series of patients. Material and Methods: Descriptive study of patients with confi rmed histological diagnosis operated at our hospital between January 2000 and June 2011. Biodemographical, preoperative, clinical, surgical technique and postoperative results were recorded. Results: 11 patients, ten of them female, with an average age of 28 years (14-43 years). The most common symptom was abdominal pain. Nine patients had lesions of the body and tail of pancreas and 2 patients had lesions in head of pancreas. Corporo-caudal pancreatectomia were done in 9 cases (6 laparoscopic surgeries) and 2 pancreatoduodenectomy (1 totally laparoscopic). The average size of tumors was 5.5 cm (2.2-13 cm), the margin was negative in all cases and no positive lymph nodes. Six patients had a complication: 4 pancreatic fi stulas (type A) which were controlled with drainage installed during surgery. One patient had postoperative abdominal collection requiring laparoscopic drainage. There was no operative mortality in this series. The average follow-up was 21 months (5-93 months). There was no recurrence or mortality at the end of follow-up. Conclusions: Is an uncommon neoplasm and occurs primarily in young women. The complete surgical resection is the best treatment, and can be done by laparoscopy surgery with low morbidity.

Avances en la cirugía de tumores del páncreas exocrino en niños

“…Dicha paciente fue dada de alta al 5º día postoperatorio; una semana después de la cirugía se evidenció una fístula pancreática que requirió un aseo quirúrgico, el que fue realizado por vía laparoscópica, permaneciendo hospitalizada por 6 días más. La formación de fístulas pancreáticas es una complicación frecuente en las pancreatectomías, tanto abiertas como laparoscópicas (5 a 30%) 22,26 , y su manejo puede ser facilitado al utilizar drenajes en forma rutinaria 25 .…”

“…El presente caso, junto con el publicado en la serie anterior 25 , son los primeros casos de cirugía laparoscópica de TSP en niños comunicados en nuestro país.…”

Hiperinsulinismo congénito del recién nacido: A propósito de un caso clínico

“…With the development of minimally invasive techniques, laparoscopic pancreatic surgery has demonstrated its effectiveness and safety, even better cosmetic result, less postoperative pain and physiological impact on patients and reduced development of postoperative adhesions [16][17][30][31][32] . The first report of laparoscopic pancreatectomy in a pediatric patient with diffuse disease was published in 2001 32 and laparoscopic enucleation of focal lesions in 2003 33 .…”

“…Along with the progress of the minimally invasive technique, laparoscopic surgery became an effective and safe alternative in the pediatric population 15 . In our country there are reports of the use of this technique in pancreatic pathology in children 16,17 . However, according to our search, it would not be described as an option for HC cases in newborns.…”

Tumor Sólido Pseudopapilar Del Páncreas en La Iv Región

“…La resección quirúrgica ofrece la posibilidad de una excelente supervivencia a largo plazo 7 , recomendándose el abordaje quirúrgico agresivo en estos pacientes 1 . En Chile se han reportado 21 casos desde el año 2008 [8][9][10][11][12][13] , 18 de ellos tratados en instituciones de Santiago [8][9][10][11][12] . Razón por la cual, la presente serie además de contribuir a la casuística nacional, tiene como objetivo la descripción de la experiencia de la IV Región con el manejo de estos tumores durante los últimos 10 años.…”