Laparoscopic resection of a giant solid pseudopapillary neoplasm of uncinate process of the pancreas in a child.

Solid pseudopapillary neoplasm of the pancreas in children is rare, and the most common localization of the tumor is the tail. The authors encountered such a case in a 10-year-old girl with a giant solid pseudopapillary neoplasm at the uncinate process of the pancreas. Imaging examination showed there was a distinct distance between the neoplasm and the main pancreatic duct. Using a 4-port transperitoneal laparoscopic technique, complete resection of the tumor was successfully performed. Laparoscopic approach appears to be safe and feasible in children with solid pseudopapillary neoplasm, and an organ-preservation operation can be successfully performed if there is no communication between the tumor and the pancreatic ductal system.