RT Journal Article
T1 Cystic tumors of the pancreas. An update of the surgical experience in a single institution.
A1 Hurtado-Pardo, Luis
A1 Cienfuegos, Javier A
A1 Antoñanzas, Javier
A1 Benito, Alberto
A1 Panadero, Pablo
A1 Salguero, Joseba
A1 Martí-Cruchaga, Pablo
A1 Zozaya, Gabriel
A1 Valentí, Víctor
A1 Pardo, Fernando
A1 Rotellar, Fernando
A1 Hernández Lizoáin, José Luis
AB the aim of the present study was to analyze the clinicopathological features of patients undergoing pancreatic surgical resections due to cystic neoplasms of the pancreas. demographic data, form of presentation, radiologic images and location of the tumors within the pancreas were analyzed. Data was also collected on the type of surgery (open/laparoscopic), postoperative complications and their severity and oncologic outcomes. eighty-two pancreatic resections were performed. The mean age of patients was 57 years and 49 (59%) were female. Forty-one tumors (50%) were incidental and the most frequent symptoms in the group of symptomatic patients were abdominal pain (63.4%) and weight loss (36.5%). Thirty-two tumors (39%) were located in the tail of the pancreas, 25 (30.5%) in the head and 20 (24.4%) in the body. Thirty-nine (47.5%) distal pancreatectomies, 16 central, ten duodenal pancreatectomies and one enucleation were performed; 40 (48.5%) were carried out laparoscopically. Mean hospital stay was ten days and eight patients (7%) experienced severe complications, one was a pancreatic fistula. Sixty-six tumors (80.5%) were recorded as non-invasive and 16 (19.5%) as invasive: seven intraductal mucinous papillary tumors, one cystic mucinous tumor, four solid pseudopapillary tumors and four cystic neuroendocrine tumors. There was a median follow-up of 64 months; disease-free survival at five and ten years was 97.4% in the patients with non-invasive tumors and 84.6% and 70.5% in the invasive tumors group (p  fifty percent of cystic neoplasms of the pancreas are incidental. Two phenotypes exist, invasive and non-invasive.
SN 1130-0108
YR 2019
FD 2019
LK http://hdl.handle.net/10668/13159
UL http://hdl.handle.net/10668/13159
LA en
DS RISalud
RD Apr 4, 2025