Case Report: Robotic pylorus-preserving pancreatoduodenectomy for periampullary rhabdomyosarcoma in a 3-year-old patient

被引:0
作者
Liang, Zijian [1 ]
Lan, Menglong [1 ]
Xu, Xiaogang [1 ]
Liu, Fei [1 ]
Tao, Boyuan [1 ]
Wang, Xinxing [1 ]
Zeng, Jixiao [1 ]
机构
[1] Guangzhou Med Univ, Guangzhou Women & Childrens Med Ctr, Dept Pediat Surg, Guangzhou, Guangdong, Peoples R China
来源
FRONTIERS IN SURGERY | 2024年 / 11卷
基金
中国国家自然科学基金;
关键词
robotic pancreatoduodenectomy; periampullary neoplasm; rhabdomyosarcoma; child; case report; SOLID PSEUDOPAPILLARY TUMOR; INTERNATIONAL STUDY-GROUP; PANCREATECTOMY; DEFINITION; NEOPLASMS; SURGERY;
D O I
10.3389/fsurg.2024.1284257
中图分类号
R61 [外科手术学];
学科分类号
摘要
Periampullary neoplasm is rare in pediatric patients and has constituted a strict indication for pancreatoduodenectomy (PD), which is a procedure sporadically reported in the literature among children. Robotic PD has been routinely performed for periampullary neoplasm in periampullary neoplasm, but only a few cases in pediatric patients have been reported. Here, we report the case of a 3-year-old patient with periampullary rhabdomyosarcoma treated with robotic pylorus-preserving PD and share our experience with this procedure in pediatric patients. A 3-year-old patient presented with obstructive jaundice and a mass in the pancreatic head revealed by imaging. A laparoscopic biopsy was performed. Jaundice progressed with abdominal pain and elevated alpha-amylase leading to urgent robotic exploration in which a periampullary neoplasm was revealed and pathologically diagnosed as rhabdomyosarcoma by frozen section examination. After pylorus-preserving PD, we performed a conventional jejunal loop following a child reconstruction, including an end-to-end pancreaticojejunostomy, followed by end-to-side hepaticojejunostomy and duodenojejunostomy. Delayed gastric emptying (DGE) presented with increasing drain from the nasogastric tube (NGT) a week after the surgery and improved spontaneously within 10 days. In a 13-month follow-up until the present, our case patient recovered well without potentially fatal complications, such as pancreatic fistula. Robotic PD in pediatric patients was safe and effective without intra- or postoperative complications.
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