Laparoscopic distal pancreatectomy in children with solid pseudopapillary tumour (Frantz tumour) – a report of two cases and review of the literature

Solid pseudopapillary tumour (Frantz tumour) is a rare primary neoplasm of the pancreas. We report our experience with LDP in two cases of children with Frantz tumour. Two patient cases were reviewed. In both laparoscopy was carried out. There were no intraoperative complications or conversions in both cases. In both children the postoperative course was uneventful. Ultrasound and computed tomography after surgery showed the healed pancreatic stump without fluid collection or abscess either around the stump or in the abdominal cavity. In both cases solid pseudopapillary neoplasm (Frantz tumour) was established on histopathological examination. Metastases, local recurrences, and endocrine and abdominal symptoms were not observed at the follow-up evaluation respectively 7 months and 1 year after surgery. In both cases laparoscopic resection was feasible and curative though the procedure itself was a hard task. The method could be favourable in experienced hands.