Clinical value analysis of simple resection of pancreatic solid pseudopapillary tumor
Journal Title: Journal of Surgery : Concepts & Practice - Year 2024, Vol 29, Issue 1
Abstract
[Objective] To explore the clinical application value of simple resection in the treatment of pancreatic solid pseudopapillary tumor(SPT). [Methods] Retrospective analysis of clinical and follow-up data of pancreatic SPT patients who underwent simple pancreatectomy and conventional pancreatectomy from January 2015 to December 2022 in the pancreatic cystic tumor database of Huashan Hospital, Fudan University. A total of 87 patients with pancreatic SPT, including 14 cases underwent simple resection and 73 cases underwent conventional resection, were included. The average age was (36.2±11.7) years old, and females accounting for 87.4%. [Results] The accuracy of preoperative imaging diagnosis reached 88.5%. Simple resection had a significant advantage over conventional resection in terms of surgical time [(138.3±56.4) min vs. (241.2±89.2) min, P<0.05]. Simple resection was not inferior to conventional resection in terms of common postoperative complications. Out of 87 cases, only 3 patients in conventional resection group experienced postoperative recurrence and metastasis, and all recurrent patients were still alive. There was no statistically significant difference in postoperative pancreatic endocrine and exocrine dysfunction, and quality of life between simple resection group and conventional resection group. [Conclusions] Simple resection of pancreatic SPT is reasonable and feasible, but the risks in actual clinical work cannot be ignored. Therefore, selective simple resection of SPT has certain clinical application value.
Authors and Affiliations
Yujie GUO, Ying TANG, Jichun GU, Feng YANG, Huaye LIU, Chen JIN, Deliang FU, Ji Li
Laparoscopic colorectal surgery 30 years in China: what we learned
Since 1993, the first laparoscopic radical surgery for colon cancer was carried out in China, laparoscopic colorectal surgery in China has embarked on a new journey, and has now entered its 30th year. Looking back on the...
Surgical process and technical points of laparoscopic sleeve gastrectomy with transit bipartition
Bariatric surgery are recognized worldwide for the treatment of morbid obesity and related comorbidities. Therapeutic guidelines have been issued from many countries. Laparoscopic sleeve gastrectomy and gastric bypass ar...
Gastric signet ring cell carcinoma: clinicopathology and surgical treatment combined with comprehensive therapy
Intraperitoneal combined with systemic neoadjuvant chemotherapy for treatment of peritoneal metastatic gastric cancer: clinical significance and key
Challenges and opportunities in the diagnosis and treatment of thyroid carcinoma in children and young adolescents
Thyroid carcinoma in children and young adolescent is a special type of thyroid carcinoma, which has received more and more attention. In recent years, confusion and difficulties continue to emerge in understanding the d...