Deng Yuhua,Zhang Mingman,Guo Hongling,et al.Clinical analysis of 4 cases of children undergoing pancreaticoduodenectomy[J].Journal of Clinical Pediatric Surgery,,18():498-502.[doi:10.3969/j.issn.1671-6353.2019.06.012]
Clinical analysis of 4 cases of children undergoing pancreaticoduodenectomy
- Keywords:
- Pancreaticoduodenectomy; Treatment Outcome; Child
- CLC:
- R726.1;R735.9
- Abstract:
- Objective To review the clinical data of 4 cases of Wipple’s procedure and summarize the experience of surgical techniques and monitoring. Methods Retrospective analysis was performed for the clinical data of 4 children undergoing Wipple’s procedure from October 2016 to January 2018.Among them,there were 2 boys and 2 girls with a median age of 78 months.The etiologies were solid pseudopapillary pancreatic tumor,pancreatic blastoma,bile duct grape-embryonic rhabdomyosarcoma and B lymphoblastic neoplasms respectively.Results Wipple’s procedure was performed successfully.The major clinical manifestation was abdominal pain,especially in upper abdomen.There were jaundice (n=3) and hematochezia (n=1).The findings of computed tomography (CT) were solid space-occupying of pancreatic head and were confirmed intraoperatively.Tumor had a diameter of 4 to 10 cm.Among them,there were lymph node metastasis (n=1) and portal vein tumor thrombus (n=1).Incomplete bowel obstruction occurred in 1 child after operation.No recurrence or metastasis occurred during a follow-up period of 3 to 18 months. Conclusion It is both safe and feasible to treat children with pancreatic mass by Whipple procedure.Preoperative magnetic resonance imaging (MRI) and CT provide strong preoperative supports.The choice of surgical procedures should be based on locations,with or without intact capsule and invading the surrounding tissues.Postoperative fluid monitoring and prompt rehydration may reduce the incidence of complications.
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Memo
收稿日期:2018-06-07。
基金项目:重庆市科技计划项目（编号：cstc2014yykfA110014）
通讯作者:张明满,Email:zhangmingman-a@163.com