Abstract:

Objectives: Cystic Neoplasms of the Pancreas (CNP) accounts for only 1-5% of all pancreatic neoplasms but in recent years approximately 30% of all pancreatic resections are performed for CNP. In this study we aimed to argue the diagnosis, treatment and outcomes of the patients who operated in our clinic for CNP. Materials and methods: The demographic characteristics, preoperative findings, surgical procedures, histopathological diagnosis, postoperative complications and long-term follow-up outcomes of the CNP patients operated in our clinic between 2009 -Jan and 2012-Feb were evaluated. Results: One patient was male, 11 patients were female and average age was 51.5 years (19-73 years). Localizations of the lesions were in the head of the pancreas for 4 patients, in the body for 2 patients and in the tail for 6 patients. Mean size of the cysts was 5.1 cm (3-10 cm).Pylorus-reserved pancreaticoduodenectomy for 4 patients, subtotal/distal pancreatectomy + splenectomy for 7 patients and spleen reserved distal pancreatectomy was performed for 1 patient. Histopathological diagnosis was as serous cystadenoma in 6, mucinous cystadenoma in 3, mucinous cystadenocarcinoma in 2 and pseudocyst in 1 patient respectively. The postoperative complication rate was 33%. Mean follow-up time was 18.4 months (2-38 months). Conclusions: Management should be based on carefully weighing the malignant potential of a pancreatic cystic lesions and the risk of surgery.

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