Adv Pediatr Surg.  2023 Jun;29(1):1-8. 10.13029/aps.2023.29.1.1.

Comparison of Laparoscopic Versus Open Surgery for Solid Pseudopapillary Tumors in Children

• Hwang H
• Youn JK
• Ko D
• Yang HB
• Kim HY

• KMID: 2551506
• DOI: http://doi.org/10.13029/aps.2023.29.1.1

Abstract

Purpose
The aim of this study was to compare the clinical features and examine the safety and feasibility of laparoscopic surgery versus open surgery in children with solid pseudopapillary tumors (SPTs).
Methods
Patients under age 18 diagnosed with SPT who underwent surgery for the condition at our single institution from January 2005 to December 2019 were retrospectively analyzed. The demographics and postoperative outcomes in the two groups were compared according to the surgical method and tumor locations.
Results
The 25 patients consisted of 23 females and two males with a mean age at surgery of 13.2 years (range, 6 to 18 years). The lesions were located in the pancreatic head (n=7, 28.0%), and body or tail (n=18, 72.0%). Fifteen patients (60.0%) were treated with laparoscopic surgery. In all patients, there was no difference in intraoperative and postoperative outcomes between the two groups. When analyzed according to tumor location, complications including postoperative pancreatic fistula did not show significant differences with the surgical method in both the head group and body or tail group.
Conclusion
Compared to open surgery, the clinical outcomes and complication rate of the laparoscopic approach in pediatric SPT patients was not significantly different. Therefore, laparoscopic surgery for SPTs in pediatric patients may be a feasible option.

Keyword

Pancreas neoplasm; Pediatrics; Laparoscopic surgery