SURGICAL MANAGEMENT OF CYSTIC LESIONS OF THE PANCREAS: A SINGLE-CENTRE EXPERIENCE

• Published in: Arquivos de gastroenterologia Vol. 55; no. 4; pp. 412 - 416
• Main Authors: Sia, Gabriela Beatriz, Soares, Pedro França da Costa, Gestic, Martinho Antonio, Chaim, Elinton Adami, Callejas-Neto, Francisco, Cazzo, Everton
• Format: Journal Article
• Language: English
• Published: Brazil Instituto Brasileiro de Estudos e Pesquisas de Gastroenterologia e Outras Especialidades - IBEPEGE 01-10-2018; Instituto Brasileiro de Estudos e Pesquisas de Gastroenterologia (IBEPEGE)
• Subjects: Adolescent; Adult; Aged; Female; GASTROENTEROLOGY & HEPATOLOGY; Humans; Length of Stay; Male; Middle Aged; Mucinous cystadenoma; Neoplasms, cystic, mucinous, and serous; Pancreatectomy; Pancreatic neoplasms; Pancreatic Neoplasms - diagnostic imaging; Pancreatic Neoplasms - surgery; Pancreatic pseudocyst; Pancreatic Pseudocyst - diagnostic imaging; Pancreatic Pseudocyst - surgery; Pancreaticoduodenectomy; Retrospective Studies; Serous cystadenoma; Young Adult; Pseudocisto pancreático; Neoplasias pancreáticas; Serous cystadenoma; Pancreatic pseudocyst; Cistadenoma mucinoso; Neoplasias císticas, mucinosas e serosas; Cistadenoma seroso; Neoplasms, cystic, mucinous, and serous; Pancreatic neoplasms; Mucinous cystadenoma
• ISSN: 0004-2803; 1678-4219; 1678-4219
• DOI: 10.1590/s0004-2803.201800000-89

Cystic lesions of the pancreas represent a group of pancreatic diseases with great histological heterogeneity, varying from benign lesions, some of them with malignant potential, to overt malignant lesions.
To describe the cases of cystic lesions of the pancreas which underwent surgical intervention at a tertiary university hospital.
This is a retrospective population-based study (historical cohort) which was carried out enrolling individuals attended at the Outpatient service of Pancreas Surgery of the Hospital de Clínicas of Unicamp. The individuals underwent surgical procedures performed from January 2012 through December 2016.
In the period evaluated, 39 cases of cystic lesions of the pancreas which underwent surgery were identified, 26 (66.6%) of which were female. The average age at diagnosis was 47.4±16.4 years (range, 18-73). In regards to symptoms, 35 (89.7%) were symptomatic. The average length of hospital stay was 10 days (range 4-76). Surgeries performed to treat the lesions depended on the localization and type of the lesions: cystojejunostomy (41%), distal pancreatectomy (36%), pancreaticoduodenectomy (15.4%), drainage of ruptured and/or infected pseudocyst (5.2%) and central pancreatectomy (2.6%).
Cystic lesions of the pancreas are a group of lesions with a highly varying presentation and diagnostic approach and may require an also highly variable surgical treatment. An appropriate preoperative imaging diagnosis is essential for their management.