Objective:To discuss the value of preoperative CT and intraoperative exploration in choice of surgical procedure for solid-pseudopapillary tumors of pancreas (SPTP).
Methods:The clinical data of 17 cases of SPTP treated in the Affiliated First Hospital of Fujian Medical University and three other hospitals over the past 10 years were retrospectively analyzed. The relationship between the opinion from preoperative CT, the detection at intraoperative exploration and the postoperative pathological features were analyzed.
Results:Preoperative CT imaging and intraoperative exploration could accurately estimate the tumor′s size, location and statas of invasion. All patients underwent surgical resection. Eight patients underwent local tumor resection, one underwent distal pancreatectomy, six had distal pancreatectomy with splenectomy, and pancreaticoduodenectomy was performed in the other two patients. Postoperative pancreatic fistula developed in 17.6% of patients. The mean follow-up period was 19.3 months; no recurrence was found.
Conclusions:The rate of resection in SPTP is high. The surgical approach should be based on the findings of pre-operative CT imaging and intraoperative exploration of the nature, size, location, capsular integrity of the tumor and infringement of surrounding tissue. Aggressive and complete resection of SPTP can result in good prognosis.