The first experience of Beger’s laparoscopic surgery for a solid pseudopapillary tumor of the pancreatic head

Background. Solid pseudopapillary tumor (SPPT) is the most common neoplastic process affecting the pancreas; the main method of its treatment is surgical intervention. The Beger operation is a surgical intervention that allows preserving the head of the pancreas and reducing the volume of the excised parenchyma, as well as avoiding postoperative complications associated with duodenal resection. Clinical case. This article presents a clinical case of a laparoscopic Beger procedure in a 16-year-old patient with SPPO of the pancreatic head, as well as a literature review devoted to resections of the pancreatic head in neoplastic processes. Special attention is paid to the technical aspects of the procedure, as well as the course of the postoperative period. Results. The laparoscopic Beger procedure demonstrated comparable efficacy compared to classic resections of the pancreatic head, despite the prolonged duration of the surgical intervention, and can be considered a promising direction for further development. Conclusion. Based on the example of clinical observation, it can be concluded that laparoscopic resections of the pancreatic head in children are possible, but its safety and oncological adequacy require further study. I would also like to note that this operation takes quite a long time, which is directly related to the high learning curve, technical difficulties and low patient flow, and therefore it is advisable to perform such surgical procedures in specialized centers.