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Operations for Pancreatic Cyst

  • Jameson L. Chassin

Abstract

The proper operation for cystadenoma, a neoplasm that has the potential of containing malignancy, is a resection. On the other hand, most pseudocysts may be cured by drainage. Therefore it is important to make an accurate diagnosis before selecting the operation for a pancreatic cyst. A pseudo-cyst, which is often preceded by one or more attacks of acute pancreatitis, frequently produces upper abdominal pain, occasionally nausea and vomiting, mild leukocytosis, and an elevated serum amylase. The cystadenoma, on the other hand, produces few symptoms. In any case, during the course of performing a drainage operation on a suspected pseudocyst, always excise a segment of the cyst wall for immediate frozen-section histopathology to rule out cystadenoma or cystadenocarcinoma. This is particularly important because resecting a cystadenocarcinoma results in a highly satisfactory 5-year survival rate (over 50%). If the cyst is lined by epithelium, it is not a pseudocyst and should be resected, not drained.

Keywords

Acute Pancreatitis Abdominal Aortic Aneurysm Distal Pancreatectomy Splenic Artery Cyst Wall 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. Bradley II EL, Clements Jr JL, Gonzalez AC (1979) The natural history of pancreatic pseudocysts: a unified concept of management. Am J Surg 137: 135PubMedCrossRefGoogle Scholar
  2. Frey CF (1978) Pancreatic pseudocyst-operative strategy. Ann Surg 188: 652PubMedCrossRefGoogle Scholar
  3. Grace RR, Jordan Jr PH (1976) Unresolved problems of pancreatic pseudocysts. Ann Surg 184: 16PubMedCrossRefGoogle Scholar
  4. Huston DG, Zeppa R. Warren DW (1976) Postoperative hemorrhage after pancreatic cystogastrostomy. Ann Surg 177: 689Google Scholar
  5. Karlson KB, Martin EC, Fankuchen EI, Mattern RF et al. (1982) Percutaneous drainage of pancreatic pseudocysts and abscesses. Radiology 142: 619PubMedGoogle Scholar
  6. Martin Jr EW, Catalano P, Cooperman M, Hecht C et al. (1979) Surgical decision-making in the treatment of pancreatic pseudocysts: internal versus external drainage. Am J Surg 138: 821PubMedCrossRefGoogle Scholar
  7. Sandy JT, Taylor RH, Christensen RM, Scudamore C et al. (1981) Pancreatic pseudo-cyst: changing concepts in management. Am J Surg 141: 574PubMedCrossRefGoogle Scholar
  8. Shatney CH, Lillehei RC (1979) Surgical treatment of pancreatic pseudocysts: analysis of 119 cases. Ann Surg 189: 386PubMedGoogle Scholar

Copyright information

© Springer Science+Business Media New York 1984

Authors and Affiliations

  • Jameson L. Chassin
    • 1
    • 2
    • 3
    • 4
    • 5
  1. 1.New York University School of MedicineUSA
  2. 2.Booth Memorial Medical CenterFlushingUSA
  3. 3.University Hospital, New York University Medical CenterUSA
  4. 4.New York Veterans Administration HospitalUSA
  5. 5.Bellevue HospitalUSA

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