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
Keywords
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- EP ID EP750937
- DOI 10.16139/j.1007-9610.2024.01.05
- Views 26
- Downloads 1
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