Feasibility of resection of internal wall for pancreatic mucinous cystic neolplasms

VernacularTitle:胰腺黏液性囊腺瘤内壁剥脱切除术的可行性研究
Author: Luan LI ; Yongliang CHEN ; Zhiwei LIU ; Xun WANG ; Jian FENG ; Xianlei XIN
Publication Type:Journal Article
Keywords: Pancreatic mucinous cystic neolplasms; Surgery
From: Clinical Medicine of China 2013;(3):319-321
CountryChina
Language:Chinese
Abstract: Objective To investigate the feasibility of resection of internal wall for pancreatic mucinous cystic neolplasms (MCN).Methods Successive observation and cyst wall thickness measurement of the pathological sections of 24 cases with pancreatic MCN admitted in our hospital during 2008-2011.One patient with pancreatic tail MCN was treated by resection of internal wall.Results The cyst wall thicknesses of the 24 cases vary from 2 mm to more than 2 cm,and the thicknesses of fibrous envelop near pancreatic vary from 0.1 mm to 8.0 mm.The fibrous envelop thickness of 17 cases were more than 0.5 mm(70.8％,17/24).These cases could be treated with resection of internal wall.Pancreatic leakage occurred in 8 of the 24 patients (33.3％,8/24).The patient treated by resection of internal wall had no pancreatic leakage.Conclusion We consider that 70.8％ cases of pancreatic MCN could be treated by resection of internal wall to cure MCN and avoid the possibility of postoperative pancreatic fistula.