Single-incision laparoscopic excision of pancreatic tumor in children

J Pediatr Surg. 2015 May;50(5):882-5. doi: 10.1016/j.jpedsurg.2015.02.002. Epub 2015 Feb 7.

Abstract

Purpose: Single-incision laparoscopic surgery (SILS) as a surgical approach in treatment of pancreatic disease has recently been reported in adults. However, its application in pancreatic surgery in children is limited. In this article, we report our preliminary experience of SILS in children with pancreatic disease.

Methods: Three children with pancreatic tumor underwent single-incision laparoscopic partial pancreatectomy between July 2011 and August 2013. Two of three children were girls, and one was a boy. The ages ranged from 2 to 10 months, with an average age of 6.7 months.

Results: All operations were successfully performed. There was no conversion to the conventional multi-incision surgery. The mean operation time of the 3 cases was 153.3 minutes (range 120-200 minutes). The postoperative hospital stay was 7 days. The drainage tubes were kept for 3 to 4 days after surgery. There was no pancreatic juice leak in this case series. All patients were followed up and there was no recurrence.

Conclusions: Single-incision laparoscopic partial pancreatectomy for children with pancreatic tumor is feasible.

Keywords: Children; Pancreatectomy; Single-incision laparoscopic surgery; Tumor.

MeSH terms

  • Adult
  • Female
  • Humans
  • Infant
  • Laparoscopy / methods*
  • Male
  • Pancreatectomy / methods*
  • Pancreatic Neoplasms / surgery*