Abstract

Background: Solid pseudopapilaty neoplasm (SPN) is a rare exocrine pancreatic tumor mostly found in young women, and a low malignant potential lesion. Laparoscopic central pancreatectomy for this tumor of the pancreatic body prevent from pancreatic endocrine and exocrine insufficiency. We present our initial successful experience of laparoscopic central pancreatectomy.

Case presentation: A 17-year-old female presented with complaints of discomfort and recurring painful episodes localized to the epigastric region. The patient underwent surgical resection for a cystadenoma located at the neck of the pancreas. The procedure involved proximal transection of the organ utilizing a linear stapler, while distal transection was performed with ultrasonic shears. Subsequently, the distal pancreatic remnant was utilized to create a pancreaticogastrostomy. The postoperative period was uneventful, with the patient showing stable recovery. At the eight-month follow-up, there were no signs of exocrine or endocrine insufficiency observed.

Conclusion: Solid pseudopapillary tumor is a rare primary neoplasm of the pancreas that typically affects young women. Laparoscopic central pancreatectomy for this tumor of the pancreatic body is a feasible method, and avoids the unnecessary removal of the normal pancreatic parenchyma.