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Precision anatomy for minimally invasive spleen-preserving distal pancreatectomy in children: a case of solid-pseudopapillary neoplasm in a 12-year-old girl
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  • HIROKI HIRAO,
  • Kaori Isono,
  • Yuta Abe,
  • Katsunori Imai,
  • Yuki Okumura,
  • Kazuya Hirukawa,
  • Keita Shimata,
  • Masaki Honda,
  • Yasuhiko Sugawara,
  • Taizo Hibi
HIROKI HIRAO
Kumamoto University Graduate School of Medical Sciences
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Kaori Isono
Kumamoto University Graduate School of Medical Sciences
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Yuta Abe
Keio Gijuku Daigaku Igakubu Daigakuin Igaku Kenkyuka Gekagaku Kyoshitsu
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Katsunori Imai
Kumamoto Daigaku Daigakuin Seimei Kagaku Kenkyubu Shokaki Gekagaku
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Yuki Okumura
Kumamoto University Graduate School of Medical Sciences
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Kazuya Hirukawa
Kumamoto University Graduate School of Medical Sciences
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Keita Shimata
Kumamoto University Graduate School of Medical Sciences
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Masaki Honda
Kumamoto University Graduate School of Medical Sciences
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Yasuhiko Sugawara
Kumamoto University Graduate School of Medical Sciences
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Taizo Hibi
Kumamoto University Graduate School of Medical Sciences

Corresponding Author:[email protected]

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Abstract

There is no standardized procedure for solid pseudopapillary neoplasm (SPN) of the pancreatic body and tail in children. Recently, an international consensus on precision anatomy for minimally invasive distal pancreatectomy in adults was established. This is the first report of a 12-year-old girl with an incidentally found SPN measuring 7.5 cm in diameter located in the pancreatic tail who successfully underwent an R0 resection by laparoscopic spleen-preserving distal pancreatectomy under the concept of precision anatomy. The implementation of this concept in the pediatric population should facilitate the safe diffusion of MIDP for SPN and other benign or low-malignant tumors in children.