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Serous cyst adenoma of the pancreas: Appraisal of active surgical strategy before it causes problems

机译：胰腺浆液性膀胱腺瘤：在出现问题之前评估积极的手术策略

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Background Patients who are diagnosed with symptomatic or ambiguous serous cyst adenoma (SCA) need surgery. The purpose of this study is to suggest a potential management plan based on analysis of surgically treated SCAs. Methods Between August 1995 and December 2010, 38 patients with SCA were surgically treated. Data were analyzed retrospectively. Results Among 38 patients, 28 were female and ten were male. Mean age was 49.6 ± 14.1 years, and five patients (13.2%) were older than 65 years. Among the five patients, two were more than 70 years old. Seventeen patients (44.7%) were symptomatic, and the rest (21, 55.3%) were incidentally found to have SCA. Twenty-seven patients underwent open pancreatectomy, and 11 patients received laparoscopic distal pancreatectomy. Mean tumor size was 4.4 ± 2.8 cm. Most asymptomatic patients of SCA had a left-sided pancreatic tumor and distal pancreatectomy with or without splenectomy were frequently performed with short operative time and less blood transfusion (P0.05). Minimally invasive surgery was mostly applied to leftsided tumors less than 5 cm in size (11/19 vs. 0/6, P = 0.029). Combined resection of the right colon was performed in two patients (5.3%) due to severe adhesion associated with large tumors. Significant association was noted between age and tumor size in asymptomatic patients (correlation coefficient = 0.541, R 2 = 0.293, P = 0.014). Postoperative pancreatic fistula was observed in five patients (13.2%, grade B) but could be managed conservatively. No mortality was found. Conclusion Before SCA causes symptoms or grows larger than 5 cm, an active surgical approach, such as minimally invasive surgery, needs to be considered.
机译：背景被诊断为症状性或歧义性浆液性囊肿腺瘤（SCA）的患者需要手术。这项研究的目的是基于对经过手术治疗的SCA的分析，提出一项潜在的治疗计划。方法1995年8月至2010年12月，对38例SCA患者进行了手术治疗。回顾性分析数据。结果38例患者中，女性28例，男性10例。平均年龄为49.6±14.1岁，五名患者（13.2％）年龄大于65岁。在五名患者中，有两名年龄超过70岁。十七名患者（44.7％）有症状，而其他患者（21％，55.3％）被发现患有SCA。二十七例行开腹胰腺切除术，十一例接受腹腔镜远端胰腺切除术。平均肿瘤大小为4.4±2.8cm。多数无症状的SCA患者为左侧胰腺肿瘤，在有或没有脾切除的情况下进行远端胰腺切除术的时间较短，输血量较少（P 0.05）。微创手术主要用于尺寸小于5 cm的左侧肿瘤（11/19 vs. 0/6，P = 0.029）。由于与大肿瘤相关的严重粘连，对两名患者（5.3％）进行了右结肠联合切除术。无症状患者的年龄与肿瘤大小之间存在显着相关性（相关系数= 0.541，R 2 = 0.293，P = 0.014）。五名患者（13.2％，B级）观察到了术后胰瘘，但可以保守治疗。没有发现死亡率。结论在SCA引起症状或生长超过5 cm之前，需要考虑采用主动手术方法，例如微创手术。

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