Cystic tumors of the pancreas. An update of the surgical experience in a single institution

  1. Hurtado Pardo, Luis 1
  2. A. Cienfuegos, Javier 123
  3. Antoñanzas, Javier 1
  4. Benito, Alberto 1
  5. Panadero, Pablo 1
  6. Salguero, Joseba 4
  7. Martí-Cruchaga, Pablo 1
  8. Zozaya, Gabriel 1
  9. Valentí, Víctor 1
  10. Pardo, Fernando 1
  11. Rotellar, Fernando 1
  12. Hernández Lizoáin, José Luis 1
  1. 1 Clínica Universitaria de Navarra
    info

    Clínica Universitaria de Navarra

    Pamplona, España

    ROR https://ror.org/03phm3r45

  2. 2 Instituto de Investigación Sanitaria de Navarra
    info

    Instituto de Investigación Sanitaria de Navarra

    Pamplona, España

  3. 3 Instituto de Salud Carlos III
    info

    Instituto de Salud Carlos III

    Madrid, España

    ROR https://ror.org/00ca2c886

  4. 4 Department of Urology. Hospital Reina Sofía. Córdoba, Spain
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Revista:
Revista Española de Enfermedades Digestivas

ISSN: 1130-0108

Año de publicación: 2019

Volumen: 111

Número: 2

Páginas: 87-93

Tipo: Artículo

DOI: 10.17235/REED.2018.5798/2018 GOOGLE SCHOLAR lock_openAcceso abierto editor

Otras publicaciones en: Revista Española de Enfermedades Digestivas

Resumen

Background: 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. Material and methods: 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. Results: 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 < 0.01). Conclusions: fifty percent of cystic neoplasms of the pancreas are incidental. Two phenotypes exist, invasive and non-invasive.

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