手辅助腹腔镜治疗胰腺实性假乳头状肿瘤一例

胰腺实性假乳头状肿瘤（SPN）是一类多为单发的罕见低度恶性肿瘤，以手术治疗为主。该文报道了1例应用手辅助腹腔镜技术治疗SPN的诊疗经过，该例为29岁女性患者，因胸骨后疼痛伴憋闷不适3个月余入院，行腹部增强CT提示为脾胰间隙囊性占位，约5.4cm×3.7cm，予手辅助腹腔镜下胰尾联合脾切除术，术后病理示SPN，患者术后3...

Hand-assisted laparoscopy for solid pseudopapillary neoplasms of the pancreas: a case report

Solid pseudopapillary neoplasms （SPN） of the pancreas are a type of mostly single and rare low-grade malignant tumors, which are mainly treated by surgery. In this article, the diagnosis and treatment of one case of SPN who was treated using hand-assisted laparoscopy were reported. The 29-year-old woman patient was admitted to the hospital due to retrosternal pain accompanied by suppressed discomfort for more than 3 months. Enhanced abdominal CT revealed cystic space-occupying lesions between the spleen and pancreas （approximately 5.4 cm×3.7 cm）. Hand-assisted laparoscopic caudal pancreatic resection combined with splenectomy was performed. The diagnosis of SPN was confirmed by postoperative pathology. The patient had anal exhaust and feeding fluid at 3 days after surgery,and she was discharged at 1 week after surgery. No tumor recurrence was observed during 8 months of follow-up. This case provides clinical reference for the treatment of SPN in China.