Article Sidebar

pdf
Date Published: 27/05/2025
Abstract Views: 67
Views pdf: 18
DOI: https://doi.org/10.51298/vmj.v550i2.14248
Issue
Vol. 550 No. 2 (2025)
Section
Các bài báo
How to Cite
Nguyễn, H., & Nguyễn An, K. (2025). SURGICAL OUTCOME OF SOLID PSEUDOPAPILLARY TUMOR OF THE PANCREAS AT HA NOI MEDICAL UNIVERSITY. Vietnam Medical Journal, 550(2). https://doi.org/10.51298/vmj.v550i2.14248 (Original work published May 23, 2025)

SURGICAL OUTCOME OF SOLID PSEUDOPAPILLARY TUMOR OF THE PANCREAS AT HA NOI MEDICAL UNIVERSITY

Hoàng Nguyễn, Khang Nguyễn An

Main Article Content

Abstract

Objectives: Evaluating the early outcomes of surgical treatment for pancreatic solid pseudopapillary tumors at Ha Noi Medical University. Subjects and methods: A retrospective descriptive study on 12 patients with surgical treatment for pancreatic solid pseudopapillary tumors at Ha Noi Medical University for 5 years from 2020 to 2025. Results: We performed surgery to treat pancreatic pseudopapillary solid tumors in a total of 12 patients. The mean age was 31.5 ± 5.7 years. All were female. The main symptom that prompted patients to seek medical attention was epigastric pain, accounting for 91.6%. The mean surgical time was 202.5 ± 17 minutes. The mean tumor size was 6.4 ± 2.1 cm. The laparoscopic surgery rate was 67.7%. The mean hospital stay was 9.4 ± 3.4 days. The rate of postoperative pancreatic fistula was 75%, of which grade A pancreatic fistula accounted for 88.9% and grade B pancreatic fistula accounted for 11.1%. Among the 12 patients, no case required intraoperative blood transfusion. No case required reoperation due to postoperative bleeding, and no case died. Postoperative pathological results were all solid pseudopapillary tumors of the pancreas. One case required additional immunohistochemistry to confirm the diagnosis. Conclusion: Surgery is the basic treatment for pancreatic pseudopapillary solid tumors. Depending on the location of the tumor in the head, body or tail of the pancreas and the size of the tumor, there are surgical options suitable for each patient such as pancreaticoduodenectomy, central pancreatectomy, distal pancreatectomy with spleen preservation or not.

Article Details

Keywords

Solid pseudopapillary neoplasms, distal pancreatectomy and splenectomy

References

1. Shuja A. and Alkimawi K.A. (2014). Solid pseudopapillary tumor: a rare neoplasm of the pancreas. Gastroenterol Rep, 2(2), 145–149.
2. Zinner MJ, Shurbaji MS, Cameron JL (1990). Solid and papillary epithelial neoplasms of the pancreas. Surgery; 108:475-80.
3. T. Furukawa (2008). Cystic Neoplasms of the Pancreas – Pathological Aspects. Diseases of Pancreas. Spinger. 76:839-43.
4. Seung Eun Lee, Jin-Young Jang, Dae Wook Hwang, Kwi-Won Park, MD et al (2008). Clinical Features and Outcome of Solid Pseudopapillary Neoplasm Differences Between Adults and Children. Arch Surg;143(12):1218-1221.
5. T. B. Patil et al (2006). Solid pseudopapillary neoplasm of the pancreas: a single institution experience of 14 cases. HPB; 8: 148- 150.
6. Zuo-Xing Niu et al (2009). The Histological Origin of Solid-Pseudopapillary Neoplasm of the Pancreas. The Open Gastroenterology Journal,3: 13-18.
7. Deng-Bin Wang, Qing-Bing Wang, Wei-Min Chai et al (2009). Imaging features of solid pseudopapillary tumor of the pancreas on multi-detector row computed tomography. World J Gastroenterol; 15(7): 829-835
8. Vito Cantisani, Koenraad J. Mortelel, Angela Levy, Jonathan N et al (2003). MR Imaging Features of Solid Pseudopapillary Tumor of the Pancreas in Adult and Pediatric Patients. AJR:181.
9. Minh Trọng, N Kiều Hưng, N Bá Đức, P Thị Khuyên, P Hoàng Hà (2021). Kết quả điều trị phẫu thuật u đặc giả nhú ở thân đuôi tuỵ tại bệnh viện việt đức. Tạp Chí Y học Việt Nam, 507(1).
10. Nakagohri T, Kinoshita T, Konishi M, Takahashi S, Gotohda N. Surgical outcome of solid pseudopapillary tumor of the pancreas. J Hepatobiliary Pancreat Surg. 2008;15(3):318-21.