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Revista chilena de cirugía

versión On-line ISSN 0718-4026


SLAKO M, Milenko et al. Solid pseudopapilary tumors of the pancreas: descriptive study of a case series. Rev Chil Cir [online]. 2012, vol.64, n.3, pp.251-256. ISSN 0718-4026.

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 confirmed 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 fistulas (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 lapa-roscopy surgery with low morbidity.

Palabras clave : Pancreatic neoplasms; solid pseudopapillary pancreatic tumor; laparoscopy.

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