Pancreatic Tail Cysts

Open access

Pancreatic Tail Cysts

The aim of the study was to determine the optimal surgical strategy in patients with pancreatic tail cysts infiltrating the spleen, stomach, left diaphragmatic dome, or transverse colon mesentery.

Material and methods. From 1997 through 2004, 184 patients with pancreatic pseudocysts were evaluated and treated in our Department. In 63 of those cases (34.2%), the lesion was located in the tail of the pancreas, and was classified as type II or III according to D. Egidio and Schein.

Results. Combined pancreatic tail and splenic resection was performed in 32 subjects (51%), 13 (20%) underwent external drainage / marsupialisation, 11 (18%) had a Roux-en-Y pancreaticocystojejunostomy, and one patient underwent a Duval operation. Endoscopic drainage to the stomach (pancreatocysto-gastrostomy) was used in one subject; another five patients who had previously undergone external drainage / marsupialisation and developed a recurrent cyst within four months after the primary procedure were selected for pancreaticocystojejunostomy. Thus, internal drainage was performed in a total of 18 patients (28%).

Conclusions. Based on our experience, we prefer pancreatic tail resection (with splenectomy) in those patients who present to the hospital with involvement of the neighbouring organs.

Schnelldorfer T, Kitvarametha Y, Adams D Carl Gussenbauer: pioneer in pancreatic surgery. World J Surg 2003; 27(6): 753-57.

Andren-Sandbergn A, Dervenis Ch. et al: Pancreatic Pseudocysts in the 21st Century. Part 1. Classification, Pathophysiology, Anatomic Considerations and Tretment. J Pancreas (Online) 2004; 5(1): 8-24.

Gooszen H, Schmitz R, Smit P et al: Analysis and treatment of pancreatic cystic diseases. Ned Tijdschr Geneeskd. 1999; 1; 143(18): 925-30.

Grace PA, Williamson RCN Modern management of pancreatic psudocysts. Br J Surg 1981; 142: 660-63.

Terrinoni V, Bianchi G, Lamazza A et al: A rare case of gastric bleeding due to left-sided portal hypertension. G Chir 1999; 20(4): 185-87.

Treacy P, Worthley C Pancreatic stents in the management of chronic pancreatitis. Aust NZJ Surg 1996; 66(4): 210-13.

Teixeira J, Gibbs K, Vaimakis S et al: Laparoscopic Roux-en-Y pancreatic cyst-jejunostomy. Surg Endosc 2003; 17(12): 1910-13.

Walas R, Motyka M, Grodowski M i wsp: Przezskórny drenaż torbieli trzustki pod kontrolą ultrasonografii. Pol Przegl Chir 2003; 74(4): 287-97.

Kazumori H, Sizuku T, Ueki T et al: Lymphoepithelial cyst of the pancreas. J Gastroenterol 1997; 32(5): 700-03.

Clark G, Onders R, Knudson J Laparoscopic distal pancreatectomy procedures in a rural hospital. AORN J 1997; 65(2): 334, 337-43.

Puchalski Z Chirurgia trzustki. Przegląd piśmiennictwa chirurgicznego. Wyd.: Fundacja Polski Przegląd Chirurgiczny. Warszawa 1996; 4: 218.

Falconi M et al: Long-term results in derivative us resective procedures for chronic pancreatitis. HPB Surgery 1996; 9, supl. 2: 38.

La Guardia G et al: The surgical treatment of chronic pancreatitis. HPB Surgery 1996; 9 (supl. 2): 133.

Allen P, Jaques D, D'Angelica M et al: Cystic lesions of the pancreas: selection criteria for operative and nonoperative management in 209 patients. J Gastrointest Surg 2003; 7(8): 970-77.

Singh R, Kullar A Pancreatic hydatid cyst. Indian J Gastroentrol 1999; 18(1): 35.

Shimizu S, Tanaka M, Konomi H et al: Laparoscopic pancreatic surgery: current indications and surgical results. Surg Endosc 2004; 18(3): 402-06.

Kozuschek W Chirurgia trzustki. Wydawnictwo Lekarskie PZWL, Warszawa 1999

Puchalski Z Chirurgia trzustki. Przegląd Piśmiennictwa Chirurgicznego. Wyd.: Fundacja Polski Przegląd Chirurgiczny 1996 4: 218.

Singh R, Kullar A Pancreatic hydatid cyst. Indian J Gastroenterol 1999 18 (1): 35.

Polish Journal of Surgery

The Journal of Foundation of the Polish Journal of Surgery

Journal Information


CiteScore 2016: 0.29

SCImago Journal Rank (SJR) 2016: 0.166
Source Normalized Impact per Paper (SNIP) 2016: 0.207

Metrics

All Time Past Year Past 30 Days
Abstract Views 0 0 0
Full Text Views 155 88 7
PDF Downloads 52 32 3