Diagnosis and surgical treatment of cystic pancreatic tumors
During the period from 2006 till 2011 105 patients with cystic tumors of the pancreas were observed. 30 patients had serous cystadenoma, 36 - mucinous cystic tumors (30 - benign, 6 - malignant), 23 - intraductal papillary-mucinous tumors (15 - benign, 8 - malignant), 16 - solid-pseudopapillary tumors (15 - benign, 1- malignant). Clinical presentation of cystic tumors was found only in cases, where pancreatic hypertension or compression of adjacent structures by lesion was observed. Methods of instrumental visualization allowed to fi nd cystic tumors even in case of small size. However differential diagnostic may be diffi cult not only among different types of cystic lesions, but between cystic tumors and pseudocysts of pancreas. Surgical treatment was carried out in 100 patients. According to localization of tumor and signs of malignancy different procedures were done: Whipple`s procedure - 22, distal pancreatectomy - 53, total pancreatectomy - 3, central resection of pancreas - 9, duodenum-preserving pancreatic head resection - 9, enucleation of tumor - 4. Postoperative morbidity was generally caused by pancreatitis. In 7 cases patients had postoperative pancreatic fi stulas, which were cured conservatively. There was no postoperative mortality.