To explore the experience of laparoscopic splenic vessels-preserving tail pancreatectomy for solid pseudopapillary neoplasm in children with indocyanine green(ICG) fluorescence navigation technique.

Retrospective analysis the treatment of a child with tumor in the tail of the pancreas. The laparoscopic splenic vessels-preserving tail pancreatectomy was accurately performed with ICG fluorescence navigation technique to indentify the relationship between the splenic vessels and the tail of the pancreas and the real-time purfusion of the spleen.

ICG navigation technique was used to guide the complete separation of the splenic vessels from the tail of the pancreas. Tri-Staple was used to remove the tumor of the tail of the pancreas. The splenic vessels were not injured during the operation. The postoperative ICG imaging showed that the spleen was well perfused. The operation time was 167 min, bleeding was 5 ml, no postoperative complications such as pancreatic leakage, bleeding or acute pancreatitis. The postoperative pathology conformed as solid pseudopapillary neoplasm. The patient was discharged 7 days after the operation, there was no symptoms during the 5 months follow-up.

The application of ICG fluorescein angiography can play a precise navigation role in laparoscopic tail pancreatectomy, which can effectively avoid damage to the splenic vessels and be objectively assessable.