P Senthilnathan, Anand Vijai, V P Nalankilli, G Srivatsan, Sandeep Sabnis, R Parthasarathi,S Rajapandian, P Praveen Raj, C Palanivelu. GEM Hospital & Research Centre
Introduction: Tthe management of cystic neoplasms has changed in recent years as a result of better diagnostic options, surgical expertise along with technological and technical innovations and international guidelines.
Method: Retrospective analysis of a cohort of 47 patients operated for cystic pancreatic neoplasms during a five -year period (January 2011– October 2015) in GEM Hospital and research centre, Coimbatore, India. Patient managed conservatively were excluded from study.
Results: The 47 cases included 39 female and 8 male patients and the average age was 37.3 years (range 11 to 78). A pylorus-preserving pancreaticoduodenectomy was carried out in 13 patients, distal pancreatectomy was carried out in 27 patients, and median resection carried out in 4 patients and enucleation was carried out in 3 patients. Two procedures were converted to open technique .Final histopathology revealed 5 intraductal papillary mucinous neoplasms, 7 serous and 19 mucinous cystic neoplasms, 15 solid pseudopapillary neoplasms, and one pseudocyst. 4 cases displayed high grade intraepithelial neoplasia and 2 cases displayed invasive cancer. Overall postoperative morbidity and mortality were 37% and 2.12%. Fistula rate was 9% (type B and C).The preoperative diagnosis of a specific cystic tumor was accurate in 71% of patients.
Conclusion: In all symptomatic and large neoplasms (> 3 cm in mucinous tumour) resection is recommended, type of surgery depends on size and location of tumour; laparoscopy can be tried in advanced centre by experienced surgeon. Laparoscopic pancreatic surgery is safe and feasible.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 80848
Program Number: P441
Presentation Session: Poster (Non CME)
Presentation Type: Poster