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©The Author(s) 2021.
World J Gastrointest Oncol. Jun 15, 2021; 13(6): 589-599
Published online Jun 15, 2021. doi: 10.4251/wjgo.v13.i6.589
Published online Jun 15, 2021. doi: 10.4251/wjgo.v13.i6.589
Table 1 Preoperative demographic data and clinical radiological characteristics
Demographic data (n = 14) | n (%) |
Gender | |
Female/male | 14 (100)/0 (0) |
Mean age (yr); (range) | 31.6 (20-55) |
35 yr | 11 (78.6) |
Symptoms | |
Asymptomatic | 12 (85.7) |
Abdominal pain and vomiting | 1 (7.1) |
Jaundice/weight loss | 1 (7.1) |
Radiological characteristics | |
Largest injury (cm) | 18 |
Minor injury (cm) | 1.5 |
Average lesion size (cm); (range) | 6.7 (1.5-18) |
Tumor location | |
Head | 6 (42.8) |
Body/tail | 8 (57.1) |
Metastasis | |
Yes | 0 |
No | 14 (100) |
Lymph node enlargement | 0 |
Vascular invasion | 2 (14.3) |
Table 2 Intraoperative surgical data
Intraoperative characteristics (n = 14) | n (%) |
Access way | |
Laproscopic | 5 (38.4) |
Open Laparotomy | 9 (64.2) |
Type of surgery | |
Duodenopancreatectomy | 6 (42.8) |
Distal pancreatectomy | 8 (57.1) |
Vascular resection | |
Yes | 2 (14.2) |
No | 12 (85.7) |
Resection of other organs | |
Yes | 8 (57.1) |
Spleen | (7) |
Transverse colon | (1) |
Stomach | (1) |
No | 6 (42.8) |
Blood transfusion | |
Yes | 2 (14.2) |
No | 12 (85.7) |
Table 3 Postoperative characteristics, adverse events (classification and treatment), readmission, and deaths
Postoperative characteristics (n = 14) | n (%) | Clavien-Dindo |
Abdominal drain | 14 (100) | - |
Surgical site (adverse events) | 4 (28.5) | - |
Surgical wound infection (PD) | 1 (7.1) | II (Antibiotic) |
Transient liver failure/ascites (PD) | 1 (7.1) | I |
Grade C pancreatic fistula (CCP); Grade B pancreatic fistula (CCP) | 1 (7.1); 1 (7.1) | III (EL); II (abdominal drain) |
Surgical site (adverse events outside) | 1 (7.1) | |
Urinary infection (PD) | 1 (7.1) | II (Antibiotic) |
Readmission | 1 (7.1) | Grade C fistula (EL) |
Death up to 90 d | 0 |
Table 4 Pathological characteristics (n = 14)
Pathological characteristics | n (%) |
Free surgical margins | 14 (100) |
Average of resected lymph nodes | 6.5 |
Lymph node metastasis | 0 |
Perineural invasion | 0 |
Angiolymphatic invasion | 0 |
Microscopic extension of the tumor | 1 |
Peripancreatic adipose tissue | 1 |
Invasion of the capsule | 0 |
Table 5 Follow-up of patients with solid pseudopapillary neoplasm of the pancreas
Year of surgery | n | Follow-up (yr) | Disease free | Conduct |
1998 | 1 | 13 | Yes | MD |
1998 | 1 | 1 | Yes | Death1 |
2012 | 4 | 5 | Yes | MD |
2013 | 1 | 5 | Yes | MD |
2014 | 2 | 5 | Yes | MD |
2015 | 2 | 5 | Yes | MD |
2017 | 1 | 3 | Yes | SG |
2018 | 2 | 2 | Yes | SG |
Table 6 Incidental and symptoms in patients with solid pseudopapillary neoplasms (literature data)
Ref. | Year | n | Study | Incidental (%) | Ap (%) | Other findings (%) |
Papavramidis et al[15] | 2006 | 718 | R | 15.5 | 46.5 | Mass 34.8 |
Lubezky et al[16] | 2017 | 32 | R | 28 | 48 | Unspecific 24 |
Song et al[17] | 2017 | 53 | R | 39.6 | 37.7 | Mass 30.2 |
Wright et al[6] | 2019 | 78 | R | 30.7 | 42.3 | Nauseas 14.1 |
Lin et al[18] | 2019 | 60 | R | 65 | 31.7 | Strain 2.2 |
Torres et al[19] | 2019 | 16 | R | - | 87.5 | Mass 12.5 |
Liu et al[20] | 2019 | 243 | R | 63.4 | 19 | Unspecific |
Farhat et al[21] | 2020 | 10 | R | 20 | 40 | Mass 40 |
- Citation: Silano F, de Melo Amaral RB, Santana RC, Neves VC, Ardengh JC, do Amaral PCG. Yield of surgery in solid pseudopapillary neoplasms of the pancreas: A case series and literature review. World J Gastrointest Oncol 2021; 13(6): 589-599
- URL: https://www.wjgnet.com/1948-5204/full/v13/i6/589.htm
- DOI: https://dx.doi.org/10.4251/wjgo.v13.i6.589