Complications after pylori-preserving pancreatoduodenal resection in a 14-year-old girl with a solid pseudopapillary tumor of the pancreas

Author:

Sokolov Yu. Yu.1ORCID,Ananyev D. P.2ORCID,Efremenkov A. M.1ORCID,Solodinina E. N.3ORCID,Melekhina O. V.4ORCID,Zykin A.  P.1ORCID,Akhmatov R. A.5ORCID

Affiliation:

1. Central Clinical Hospital with Clinic of the Office of the President of the Russian Federation; Russian Medical Academy of Continuous Professional Education, Ministry of Health of Russia

2. Central Clinical Hospital with Clinic of the Office of the President of the Russian Federation

3. Central Clinical Hospital with Clinic of the Office of the President of the Russian Federation; Central State Medical Academy of the Office of the President of the Russian Federation

4. Moscow Clinical Research Center named after A.S. Loginov of the Moscow City Healthcare Department

5. Russian Medical Academy of Continuous Professional Education, Ministry of Health of Russia

Abstract

Pancreatoduodenal resection (PDR) is one of the most difficult surgical interventions in abdominal surgery of childhood. We present our clinical observation of a postoperative complication in a 14-years-old girl.The girl was operated on for a solid pseudopapillary tumor of the head of the pancreas, laparoscopically assisted pylori-preserving PDR was performed, mobilization and removal of the tumor was performed, distally between the stump of the pancreas and the Roux-en-Y loop of pancreatoejunoanastomo was formed. Mechanical jaundice occurred in the late postoperative period. Percutaneous transhepatic cholangiostomy, recanalization of hepaticoejunoanastomosis with the formation of external-internal transhepatic drainage was performed. 5 courses of balloon dilation of the stricture of the biliodigestive anastomosis were performed later.We demonstrate some complications of PDR in children and show possible options for their correction.

Publisher

OOO Grafika

Subject

Oncology,Hematology,Pediatrics, Perinatology and Child Health

Reference41 articles.

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