SURGICAL MANAGEMENT OF CYSTIC LESIONS OF THE PANCREAS: A SINGLE-CENTRE EXPERIENCE
Autor(a) principal: | |
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Data de Publicação: | 2018 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Arquivos de gastroenterologia (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-28032018002400412 |
Resumo: | ABSTRACT BACKGROUND: Cystic lesions of the pancreas represent a group of pancreatic diseases with great histological heterogeneity, varying from benign lesions, some of them with malignant potential, to overt malignant lesions. OBJECTIVE: To describe the cases of cystic lesions of the pancreas which underwent surgical intervention at a tertiary university hospital. METHODS: This is a retrospective population-based study (historical cohort) which was carried out enrolling individuals attended at the Outpatient service of Pancreas Surgery of the Hospital de Clínicas of Unicamp. The individuals underwent surgical procedures performed from January 2012 through December 2016. RESULTS: In the period evaluated, 39 cases of cystic lesions of the pancreas which underwent surgery were identified, 26 (66.6%) of which were female. The average age at diagnosis was 47.4±16.4 years (range, 18-73). In regards to symptoms, 35 (89.7%) were symptomatic. The average length of hospital stay was 10 days (range 4-76). Surgeries performed to treat the lesions depended on the localization and type of the lesions: cystojejunostomy (41%), distal pancreatectomy (36%), pancreaticoduodenectomy (15.4%), drainage of ruptured and/or infected pseudocyst (5.2%) and central pancreatectomy (2.6%). CONCLUSION: Cystic lesions of the pancreas are a group of lesions with a highly varying presentation and diagnostic approach and may require an also highly variable surgical treatment. An appropriate preoperative imaging diagnosis is essential for their management. |
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SURGICAL MANAGEMENT OF CYSTIC LESIONS OF THE PANCREAS: A SINGLE-CENTRE EXPERIENCENeoplasms, cystic, mucinous, and serousSerous cystadenomaMucinous cystadenomaPancreatic pseudocystPancreatic neoplasmsABSTRACT BACKGROUND: Cystic lesions of the pancreas represent a group of pancreatic diseases with great histological heterogeneity, varying from benign lesions, some of them with malignant potential, to overt malignant lesions. OBJECTIVE: To describe the cases of cystic lesions of the pancreas which underwent surgical intervention at a tertiary university hospital. METHODS: This is a retrospective population-based study (historical cohort) which was carried out enrolling individuals attended at the Outpatient service of Pancreas Surgery of the Hospital de Clínicas of Unicamp. The individuals underwent surgical procedures performed from January 2012 through December 2016. RESULTS: In the period evaluated, 39 cases of cystic lesions of the pancreas which underwent surgery were identified, 26 (66.6%) of which were female. The average age at diagnosis was 47.4±16.4 years (range, 18-73). In regards to symptoms, 35 (89.7%) were symptomatic. The average length of hospital stay was 10 days (range 4-76). Surgeries performed to treat the lesions depended on the localization and type of the lesions: cystojejunostomy (41%), distal pancreatectomy (36%), pancreaticoduodenectomy (15.4%), drainage of ruptured and/or infected pseudocyst (5.2%) and central pancreatectomy (2.6%). CONCLUSION: Cystic lesions of the pancreas are a group of lesions with a highly varying presentation and diagnostic approach and may require an also highly variable surgical treatment. An appropriate preoperative imaging diagnosis is essential for their management.Instituto Brasileiro de Estudos e Pesquisas de Gastroenterologia e Outras Especialidades - IBEPEGE. 2018-12-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-28032018002400412Arquivos de Gastroenterologia v.55 n.4 2018reponame:Arquivos de gastroenterologia (Online)instname:Instituto Brasileiro de Estudos e Pesquisas de Gastroenterologiainstacron:IBEPEGE10.1590/s0004-2803.201800000-89info:eu-repo/semantics/openAccessSIA,Gabriela BeatrizSOARES,Pedro França da CostaGESTIC,Martinho AntonioCHAIM,Elinton AdamiCALLEJAS-NETO,FranciscoCAZZO,Evertoneng2019-02-11T00:00:00Zoai:scielo:S0004-28032018002400412Revistahttp://www.scielo.br/aghttps://old.scielo.br/oai/scielo-oai.php||secretariaarqgastr@hospitaligesp.com.br1678-42190004-2803opendoar:2019-02-11T00:00Arquivos de gastroenterologia (Online) - Instituto Brasileiro de Estudos e Pesquisas de Gastroenterologiafalse |
dc.title.none.fl_str_mv |
SURGICAL MANAGEMENT OF CYSTIC LESIONS OF THE PANCREAS: A SINGLE-CENTRE EXPERIENCE |
title |
SURGICAL MANAGEMENT OF CYSTIC LESIONS OF THE PANCREAS: A SINGLE-CENTRE EXPERIENCE |
spellingShingle |
SURGICAL MANAGEMENT OF CYSTIC LESIONS OF THE PANCREAS: A SINGLE-CENTRE EXPERIENCE SIA,Gabriela Beatriz Neoplasms, cystic, mucinous, and serous Serous cystadenoma Mucinous cystadenoma Pancreatic pseudocyst Pancreatic neoplasms |
title_short |
SURGICAL MANAGEMENT OF CYSTIC LESIONS OF THE PANCREAS: A SINGLE-CENTRE EXPERIENCE |
title_full |
SURGICAL MANAGEMENT OF CYSTIC LESIONS OF THE PANCREAS: A SINGLE-CENTRE EXPERIENCE |
title_fullStr |
SURGICAL MANAGEMENT OF CYSTIC LESIONS OF THE PANCREAS: A SINGLE-CENTRE EXPERIENCE |
title_full_unstemmed |
SURGICAL MANAGEMENT OF CYSTIC LESIONS OF THE PANCREAS: A SINGLE-CENTRE EXPERIENCE |
title_sort |
SURGICAL MANAGEMENT OF CYSTIC LESIONS OF THE PANCREAS: A SINGLE-CENTRE EXPERIENCE |
author |
SIA,Gabriela Beatriz |
author_facet |
SIA,Gabriela Beatriz SOARES,Pedro França da Costa GESTIC,Martinho Antonio CHAIM,Elinton Adami CALLEJAS-NETO,Francisco CAZZO,Everton |
author_role |
author |
author2 |
SOARES,Pedro França da Costa GESTIC,Martinho Antonio CHAIM,Elinton Adami CALLEJAS-NETO,Francisco CAZZO,Everton |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
SIA,Gabriela Beatriz SOARES,Pedro França da Costa GESTIC,Martinho Antonio CHAIM,Elinton Adami CALLEJAS-NETO,Francisco CAZZO,Everton |
dc.subject.por.fl_str_mv |
Neoplasms, cystic, mucinous, and serous Serous cystadenoma Mucinous cystadenoma Pancreatic pseudocyst Pancreatic neoplasms |
topic |
Neoplasms, cystic, mucinous, and serous Serous cystadenoma Mucinous cystadenoma Pancreatic pseudocyst Pancreatic neoplasms |
description |
ABSTRACT BACKGROUND: Cystic lesions of the pancreas represent a group of pancreatic diseases with great histological heterogeneity, varying from benign lesions, some of them with malignant potential, to overt malignant lesions. OBJECTIVE: To describe the cases of cystic lesions of the pancreas which underwent surgical intervention at a tertiary university hospital. METHODS: This is a retrospective population-based study (historical cohort) which was carried out enrolling individuals attended at the Outpatient service of Pancreas Surgery of the Hospital de Clínicas of Unicamp. The individuals underwent surgical procedures performed from January 2012 through December 2016. RESULTS: In the period evaluated, 39 cases of cystic lesions of the pancreas which underwent surgery were identified, 26 (66.6%) of which were female. The average age at diagnosis was 47.4±16.4 years (range, 18-73). In regards to symptoms, 35 (89.7%) were symptomatic. The average length of hospital stay was 10 days (range 4-76). Surgeries performed to treat the lesions depended on the localization and type of the lesions: cystojejunostomy (41%), distal pancreatectomy (36%), pancreaticoduodenectomy (15.4%), drainage of ruptured and/or infected pseudocyst (5.2%) and central pancreatectomy (2.6%). CONCLUSION: Cystic lesions of the pancreas are a group of lesions with a highly varying presentation and diagnostic approach and may require an also highly variable surgical treatment. An appropriate preoperative imaging diagnosis is essential for their management. |
publishDate |
2018 |
dc.date.none.fl_str_mv |
2018-12-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-28032018002400412 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-28032018002400412 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/s0004-2803.201800000-89 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Instituto Brasileiro de Estudos e Pesquisas de Gastroenterologia e Outras Especialidades - IBEPEGE. |
publisher.none.fl_str_mv |
Instituto Brasileiro de Estudos e Pesquisas de Gastroenterologia e Outras Especialidades - IBEPEGE. |
dc.source.none.fl_str_mv |
Arquivos de Gastroenterologia v.55 n.4 2018 reponame:Arquivos de gastroenterologia (Online) instname:Instituto Brasileiro de Estudos e Pesquisas de Gastroenterologia instacron:IBEPEGE |
instname_str |
Instituto Brasileiro de Estudos e Pesquisas de Gastroenterologia |
instacron_str |
IBEPEGE |
institution |
IBEPEGE |
reponame_str |
Arquivos de gastroenterologia (Online) |
collection |
Arquivos de gastroenterologia (Online) |
repository.name.fl_str_mv |
Arquivos de gastroenterologia (Online) - Instituto Brasileiro de Estudos e Pesquisas de Gastroenterologia |
repository.mail.fl_str_mv |
||secretariaarqgastr@hospitaligesp.com.br |
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1754193349296783360 |