Cystic pancreatic neoplasms: Enucleate or resect?

James M. Kiely, Attila Nakeeb, Richard A. Komorowski, Stuart D. Wilson, Henry A. Pitt

Research output: Contribution to journalArticle

117 Citations (Scopus)

Abstract

Asymptomatic cystic pancreatic neoplasms are being detected by abdominal imaging with increasing frequency. Enucleation of small cystic neoplasms can be performed without recurrence but has been associated with a higher incidence of pancreatic fistula. Thus the procedure has been modified to include intraoperative ultrasound imaging and closure of the pancreatic defect. This analysis was performed to determine whether these modifications have improved operative outcome. Thirty patients with mucinous cystic neoplasms (n = 16), serous cystadenomas (n = 10), and cystic islet cell tumors (n = 4) were studied. Enucleation was performed in 11 patients (7 with mucinous cystic neoplasms, 2 with serous cystadenomas and 2 with islet cell tumors), whereas 19 underwent resection of cystic tumors (pancreatoduodenectomy in 8 and distal pancreatectomy in 11). The mean groups did not differ with regard to age (57 years), gender (73% female), presentation (63% incidental), or site (43% head, neck, or uncinate). Patients undergoing enucleation had smaller tumors (2.2 vs. 4.7 cm, P

Original languageEnglish (US)
Pages (from-to)890-897
Number of pages8
JournalJournal of Gastrointestinal Surgery
Volume7
Issue number7
DOIs
StatePublished - Nov 2003
Externally publishedYes

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Pancreatic Neoplasms
Serous Cystadenoma
Islet Cell Adenoma
Neoplasms
Pancreatic Fistula
Pancreatectomy
Pancreaticoduodenectomy
Ultrasonography
Neck
Head
Recurrence
Incidence

Keywords

  • Cystadenoma
  • Islet cell tumor
  • Pancreatic cyst

ASJC Scopus subject areas

  • Surgery

Cite this

Cystic pancreatic neoplasms : Enucleate or resect? / Kiely, James M.; Nakeeb, Attila; Komorowski, Richard A.; Wilson, Stuart D.; Pitt, Henry A.

In: Journal of Gastrointestinal Surgery, Vol. 7, No. 7, 11.2003, p. 890-897.

Research output: Contribution to journalArticle

Kiely, James M. ; Nakeeb, Attila ; Komorowski, Richard A. ; Wilson, Stuart D. ; Pitt, Henry A. / Cystic pancreatic neoplasms : Enucleate or resect?. In: Journal of Gastrointestinal Surgery. 2003 ; Vol. 7, No. 7. pp. 890-897.
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