Laparoscopic spleen-preserving distal pancreatectomy with splenic vessel preservation for pancreatic pseudocyst in a 10-year-old boy

Anadolulu, Ali İhsan; Kafadar, Mehmet Tolga; Gök, Mehmet Ali; Anadolulu, Zeynep

doi:10.1016/j.epsc.2018.04.011

Journal of Pediatric Surgery Case Reports

2018

DOI: 10.1016/j.epsc.2018.04.011

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Laparoscopic spleen-preserving distal pancreatectomy with splenic vessel preservation for pancreatic pseudocyst in a 10-year-old boy

Ali İhsan Anadolulu

Mehmet Tolga Kafadar

Mehmet Ali Gök

et al.

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2019

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“…That was the reason why an organ-preserving surgery was chosen: the patient underwent the laparoscopic partial cystectomy with the distal Roux-en-Y pancreaticojejunal anastomosis. There are only a few publications of similar laparoscopic procedures in children [3,4,11,13].…”

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Laparoscopic partial resection of a post-traumatic pancreatic cyst with distal roux-en-y pancreaticojejunal anastomosis in a child

Yur’Evich¹,

Efremenkov²,

Tatevosovich³

et al. 2019

Medical news of the North Caucasus

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Российская медицинская академия непрерывного профессионального образования, москва, Российская Федерация 2 Детская городская клиническая больница св. Владимира, москва, Российская Федерация 3 Институт хирургии, Тихоокеанский государственный медицинский университет, Владивосток, Российская Федерация 4 Пермский государственный медицинский университет им. академика Е. А. Вагнера, Российская Федерация Cystic formations of the pancreas in children are relatively rare. In most cases, pseudocysts arising after injury or inflammation of the gland parenchyma, are diagnosed. The article presents a clinical observation of a 7-year-old child with a post-traumatic pancreatic cyst. Conservative treatment was ineffective. The child underwent laparoscopic partial resection of the pancreatic cyst and Roux-en-Y distal pancreatojejunostomy. The selected treatment method allowed preserving the distal part of the pancreas, ensured reliable long-term drainage of the contents into the gastrointestinal tract and recovery of a child.

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mentioning

confidence: 99%

Laparoscopic partial resection of a post-traumatic pancreatic cyst with distal roux-en-y pancreaticojejunal anastomosis in a child

Yur’Evich¹,

Efremenkov²,

Tatevosovich³

et al. 2019

Medical news of the North Caucasus

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Laparoscopic Procedures in Children With Pancreatic Pseudocysts

Sokolov

Efremenkov

Туманян

et al. 2019

Russian Journal of Pediatric Surgery

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Introduction. Pancreatic pseudocysts are encapsulated fluid sacs in the omentum having no epithelial lining; they appear in the pancreas after injury and inflammation. Recently, there has appeared a trend to treat pancreatic pseudocysts with laparoscopic surgical interventions. The article describes laparoscopic treatment of pancreatic pseudocysts in 10 children. Objective. To evaluate the effectiveness of laparoscopic interventions in children with pseudocysts in the pancreas. Material and methods. In 2013-2018, 10 laparoscopic surgeries in children, aged 4-17 (5 boys and 5 girls), with pancreatic pseudocysts were performed at the department of pediatric surgery in the Russian Medical Academy of Continuous Professional Education. Indications for surgery were: pancreatic pseudocysts having diameter more than 6 cm and wall thickness more than 3-4 mm, no effect after the conservative therapy , cyst formation more than 3 months, persistent pain syndrome. Results. The choice of a surgical technique was defined by pseudocyst etiology and location. The children had six laparoscopic cystoeunoanastomoses, two partial cystectomies with a distal pancreatojejunoanastomosis and two partial cystectomies with a longitudinal pancreatojejunoanastomosis when the cyst was formed at the chronic pancreatitis. No intraoperative complications were seen. Early postoperative complications occurred in 2 patients: an external pancreatic fistula at the drainage site (1) and intestinal obstruction (1) at the level of the intestinal anastomosis. Conclusion. Laparoscopic surgeries in children with pancreatic pseudocysts are effective and less traumatic. The laparoscopic technique allows to make a complete revision, to perform sequestrnecrectomy , if necessary, as well as to take the material for histological examination and to ensure a reliable long-term drainage.

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Laparoscopic spleen-preserving distal pancreatectomy with splenic vessel preservation for pancreatic pseudocyst in a 10-year-old boy

Cited by 2 publications

References 9 publications

Laparoscopic partial resection of a post-traumatic pancreatic cyst with distal roux-en-y pancreaticojejunal anastomosis in a child

Laparoscopic partial resection of a post-traumatic pancreatic cyst with distal roux-en-y pancreaticojejunal anastomosis in a child

Laparoscopic Procedures in Children With Pancreatic Pseudocysts

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