Robot-assisted whipple’s operation for solid pseudopapillary tumour of pancreas

Ng, Cathy P. C.; Yang, George P.; Tang, Chung Ngai

doi:10.1007/s11701-012-0362-3

Cited by 5 publications

(4 citation statements)

References 5 publications

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“…In recent years, as laparoscopic and robotic technology has been developing, due to minimally invasive advantages, it was expected to become one of the ways of SPTP treatment because tumors were generally benign and represented thick fibrous capsule. The clinical outcome of laparoscopic and robotic excision of pancreatic tumors in the Chinese high-volume medical center was satisfactory [24,33,34]. Furthermore, the robotic technique seemed to be more efficient and secure than a laparoscope among properly selected patients [35].…”

Section: Discussionmentioning

confidence: 98%

A Review of Clinicopathological Characteristics and Treatment of Solid Pseudopapillary Tumor of the Pancreas with 2450 Cases in Chinese Population

Yao

2020

BioMed Research International

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Background. Solid pseudopapillary tumor of the pancreas (SPTP) has been reported as a rare disease with low malignant potential. The aim of this study was to summarize experiences of the diagnosis and treatment for the patients reported in the Chinese population. Method. 2450 SPTP cases reported in English and Chinese literature before Jan 2020 were for our review and analysis retrospectively. Result. There are 389 male cases and 2061 female cases, and the ratio of male/female was 1 : 5.3. The average age was 29.3 years. The main clinical symptoms were upper abdominal pain and bloating discomfort in 51.6% of the cases and epigastric mass. 38.6% of the tumor was located at the head of the pancreas and 55.4% at the body and tail of the pancreas. The most frequent operative styles were tumor enucleation (38.4%). Pathology showed that the average diameter of the tumor was 8.2 cm and 12.3% of SPTP was malignant. 98.3% of cases had favorable survival. Conclusions. SPTP is a rare indolent tumor occurring mainly in young women, and the main clinical performances are abdominal mass and abdominal pain; most tumors are distributed at the head and the tail of the pancreas; the prognosis after complete resection is excellent.

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Section: Discussionmentioning

confidence: 98%

A Review of Clinicopathological Characteristics and Treatment of Solid Pseudopapillary Tumor of the Pancreas with 2450 Cases in Chinese Population

Yao

2020

BioMed Research International

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“…The most popular techniques include end-to-side duct-to-mucosa anastomosis and end-to-end dunking or invagination anastomosis ( 20 , 21 ); other methods were mostly modified from the above techniques ( 22 – 24 ). End-to-side duct-to-mucosa anastomosis is one of the most popular techniques, as it is thought as the most histologically compatible and has been reported to have excellent results in adults ( 5 , 22 , 25 ). Spagnoletti et al performed PPPD and reported a successful end-to-side duct-to-mucosa anastomosis in a 5-month-old patient; the authors determined the method to be safe for pediatric patients ( 7 ).…”

Section: Discussionmentioning

confidence: 99%

“…PD is widely accepted as one of the most complicated procedures in general surgery because of the wide dissection and three anastomoses involved. Robotic PD in adults has been reported to have better efficacy and safety (3,25,33,34). Despite the reported advantages of robotic surgery, this approach is rarely used in pediatric surgery with only a few published reports (7)(8)(9).…”

Section: Discussionmentioning

confidence: 99%

Case Report: Robotic pylorus-preserving pancreatoduodenectomy for periampullary rhabdomyosarcoma in a 3-year-old patient

Liang,

Lan,

et al. 2024

Front. Surg.

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Periampullary neoplasm is rare in pediatric patients and has constituted a strict indication for pancreatoduodenectomy (PD), which is a procedure sporadically reported in the literature among children. Robotic PD has been routinely performed for periampullary neoplasm in periampullary neoplasm, but only a few cases in pediatric patients have been reported. Here, we report the case of a 3-year-old patient with periampullary rhabdomyosarcoma treated with robotic pylorus-preserving PD and share our experience with this procedure in pediatric patients. A 3-year-old patient presented with obstructive jaundice and a mass in the pancreatic head revealed by imaging. A laparoscopic biopsy was performed. Jaundice progressed with abdominal pain and elevated alpha-amylase leading to urgent robotic exploration in which a periampullary neoplasm was revealed and pathologically diagnosed as rhabdomyosarcoma by frozen section examination. After pylorus-preserving PD, we performed a conventional jejunal loop following a child reconstruction, including an end-to-end pancreaticojejunostomy, followed by end-to-side hepaticojejunostomy and duodenojejunostomy. Delayed gastric emptying (DGE) presented with increasing drain from the nasogastric tube (NGT) a week after the surgery and improved spontaneously within 10 days. In a 13-month follow-up until the present, our case patient recovered well without potentially fatal complications, such as pancreatic fistula. Robotic PD in pediatric patients was safe and effective without intra- or postoperative complications.

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“…Our patient underwent R-PPPD and we followed ERAS protocol in postoperative period and she was discharged on POD6. On reviewing literature, we found very few evidences of doing R-PPPD in young females for SPT,[ 9 10 ] and according to our literature search, she is the youngest patient who underwent R-PPPD for SPT. We believe R-PPPD can be done in paediatric and adolescent age group with ease and faster postoperative recovery with equivalent oncological outcome.…”

Section: Discussionmentioning

confidence: 99%

First robotic pylorus preserving pancreaticoduodenectomy for Frantz's tumour in an adolescent girl

et al. 2018

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Solid pseudopapillary tumour (SPT) is one of the uncommon benign cystic neoplasms of pancreas occurring predominantly in young females. Being benign in nature, surgical resection is the treatment of choice with excellent 5-year survival. A 14-year-old girl presented with pain abdomen for 1 week. On evaluation, she was found to have a large SPT involving head and uncinate process of Pancreas She underwent robotic pylorus preserving pancreaticoduodenectomy (R-PPPD) with da Vinci® Si Robotic System (Intuitive Surgical, Sunnyvale, CA, USA). The total operating time was 480 min. Her postoperative recovery was uneventful and she was discharged on postoperative day 6.In the era of minimally invasive surgery, robotic pancreatic resection and reconstruction are becoming more acceptable. Although the operating domain is small in younger age group, the precise movement of robotic arm and high quality magnified three-dimensional view allows the surgeons to perform PPPD on younger patients also. Young female patients suffering from SPTs can electively undergo R-PPPD with minimal morbidity and mortality. R-PPPD can become the treatment of choice for SPTs involving pancreatic head region even in paediatric and adolescent age group.

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Robot-assisted whipple’s operation for solid pseudopapillary tumour of pancreas

Cited by 5 publications

References 5 publications

A Review of Clinicopathological Characteristics and Treatment of Solid Pseudopapillary Tumor of the Pancreas with 2450 Cases in Chinese Population

A Review of Clinicopathological Characteristics and Treatment of Solid Pseudopapillary Tumor of the Pancreas with 2450 Cases in Chinese Population

Case Report: Robotic pylorus-preserving pancreatoduodenectomy for periampullary rhabdomyosarcoma in a 3-year-old patient

First robotic pylorus preserving pancreaticoduodenectomy for Frantz's tumour in an adolescent girl

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