Laparoscopic surgery for pancreatic diseases in children

Abstract

Objective To evaluate efficacy of laparoscopy in the treatment of pediatric pancreatic diseases. Methods Nine children with pancreatic diseases underwent laparoscopy surgery between October 2005 and December 2010. The procedures included internal drainage of pancreatic pseudocyst (n = 1) ,excision of islet cell tumor (n= 1),distal pancreatectomy for diffuse islet cell hyperplasia (n = 2) and solid-pseudopapillary tumor of pancreas (n = 3),lateral pancreaticojejunostomy for pancreatic duct dilatation (n = 2). Results All patients recovered uneventfully. Only one patient was converted to open surgery. Operative time ranged from 140 to 210 minutes. No blood transfusion was required. No duodenal injury was encountered. One patient required redo open surgery for bile leak and recovered. Postoperative hospital stay was 3-20 days. Follow-up period ranged from 3 to 24 months. No complication was observed. Conclusions Laparoscopic surgery for pancreatic diseases in children is safe,feasible and effective. Key words: Laparoscopy surgical procedures; Pancreatic diseases