Surgical treatment of pancreatic cystic tumors

Jabłońska, Beata; Braszczok, Łukasz; Szczęsny-Karczewska, Weronika; Dubiel-Braszczok, Beata; Lampe, Paweł

doi:10.5604/01.3001.0009.6008

Cited by 3 publications

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“…It should be taken into account that the different geographical incidence of PCTs, as well as the different distribution of their types, does not allow adapting the results of large Asian analyses to the epidemiological situation in Polish society. An example is a large analysis carried out in South Korea, in which the main type of PCT was IPMN (82.3% of cases), then MCN (only 1.5%), which is not consistent with the main Polish authors [ 8 , 9 ].…”

Section: Introductionmentioning

confidence: 85%

Pancreatic Cystic Tumors: A Single-Center Observational Study

et al. 2023

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Background and Objectives: The aim of the study was to analyze the prevalence and characteristics of pancreatic cystic tumors (PCTs). Material and methods: A retrospective analysis of the medical records of 124 patients, 102 (69%) women and 46 (31%) men, who had undergone surgery for pancreatic cystic tumors in 2014–2018. Among 148 pancreatic cysts, 24 (16%) were non-neoplasmatic and 124 (84%) were neoplasmatic. The neoplasmatic cysts (n=124) were included in our analysis. There were five main types of PCTs: IPMN (intraductal papillary mucinous neoplasm) (n = 45), MCN (mucinous cystic neoplasm) (n = 30), SCN (serous cystic neoplasm) (n = 28), SPN (solid pseudopapillary neoplasm) (n = 8), and CPEN (cystic pancreatic endocrine neoplasm) (n = 8), as well as mixed-type tumors (n = 5). Results: A statistically significant dependency between PCT type and age was proven (p= 0.0001): IPMNs were observed in the older group of patients with an average age of 66.12 (40–79) years while SPNs were noted in the youngest group of patients with an average age of 36.22 (22–55) years. A statistically significant association between PCT type and gender (p = 0.0001) was found: IPMNs occurred among 24 (53.33%) men and 21 (46.6%) women. In the MCN and SPN groups, all patients were female (100%). Among the SCN group, the majority were women (27 (96.43%)), and there was only 1 (3.57%) man. A statistically significant dependency between PCT type and size was proven (p = 0.0007). The mean size of IPMNs was the smallest 2.95 (0.6–10 cm) and the mean size of MCNs was the largest 6.78 (1.5–19 cm). A statistically significant dependency between PCT type and tumor location was proven (p = 0.000238). The most frequent location of IPMN was the pancreatic head: 27 (60%). MCN was most frequently located in the pancreatic tail (18 (60%)). Most (10/28) SCNs were found in the pancreatic tail (10 (35.71%)). CPENs were most frequently located in the pancreatic tail (three (37.5%)) and pancreatic body and tail (three (37.5%)). SPNs were located commonly in the pancreatic head (five (62.5%)). The type of surgery depended on the tumor location. The most frequent surgery for IPMNs was pancreatoduodenectomy (44.4%), while for MCNs and SCNs, it was distal pancreatectomy (81%). The postoperative morbidity and mortality were 34.68% and 1.61%, respectively. Postoperative pancreatic fistula (POPF) was the most frequent (29%) complication. Conclusions: IPMN was the most frequent resected PCT in our material. A statistically significant association between the type of cyst and location within the pancreas, size, local lymph node involvement, and patient’s age and sex was proved. POPF was the most frequent postoperative complication. In patients with PCTs, due to substantial postoperative morbidity, adequate patient selection, considering both the surgical risk as well as the long-term risk of malignant transformation, is very important during qualification for surgery.

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Section: Introductionmentioning

confidence: 85%

Pancreatic Cystic Tumors: A Single-Center Observational Study

et al. 2023

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Surgical treatment of pancreatic diseases

Yang

Hua

et al. 2021

Integrative Pancreatic Intervention Therapy

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Robotic-assisted versus open left pancreatectomy for cystic tumours: A single-centre experience

et al. 2020

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Robotically assisted LSP is a safe and effective procedure. It is accompanied by a significantly higher spleen preservation rate compared to the open approach. In addition, because of the reduced trauma, RAS incurred a shorter post-operative hospital stay and faster return to full recovery, particularly important in patients undergoing surgery for relative indications. However, these benefits of RAS for LSP require confirmation by prospective randomised controlled studies.

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Surgical treatment of pancreatic cystic tumors

Abstract: Serous cystadenoma was the most common pancreatic cystic tumor in the analyzed group. PCTs were most frequently located within the pancreatic head. Pancreatic resection was possible in most patients, and pancreatoduodenectomy was the most common pancreatic resection type.

Cited by 3 publications

References 29 publications

Pancreatic Cystic Tumors: A Single-Center Observational Study

Pancreatic Cystic Tumors: A Single-Center Observational Study

Surgical treatment of pancreatic diseases

Robotic-assisted versus open left pancreatectomy for cystic tumours: A single-centre experience

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