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

Ho Kyoung Hwang, Hyunki Kim, Chang Moo Kang, Woo Jung Lee

Research output: Contribution to journalArticle

15 Citations (Scopus)

Abstract

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 (P\0.05). 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, R2 = 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.

Original languageEnglish
Pages (from-to)1560-1565
Number of pages6
JournalSurgical endoscopy
Volume26
Issue number6
DOIs
Publication statusPublished - 2012 Jun

Fingerprint

Adenoma
Cysts
Pancreas
Pancreatectomy
Minimally Invasive Surgical Procedures
Neoplasms
Pancreatic Fistula
Splenectomy
Operative Time
Blood Transfusion
Colon
Mortality

All Science Journal Classification (ASJC) codes

  • Surgery

Cite this

Hwang, Ho Kyoung ; Kim, Hyunki ; Kang, Chang Moo ; Lee, Woo Jung. / Serous cyst adenoma of the pancreas : Appraisal of active surgical strategy before it causes problems. In: Surgical endoscopy. 2012 ; Vol. 26, No. 6. pp. 1560-1565.
@article{e82585d6ba96449dae6e749d54edf2d1,
title = "Serous cyst adenoma of the pancreas: Appraisal of active surgical strategy before it causes problems",
abstract = "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 (P\0.05). 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, R2 = 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.",
author = "Hwang, {Ho Kyoung} and Hyunki Kim and Kang, {Chang Moo} and Lee, {Woo Jung}",
year = "2012",
month = "6",
doi = "10.1007/s00464-011-2070-x",
language = "English",
volume = "26",
pages = "1560--1565",
journal = "Surgical Endoscopy",
issn = "0930-2794",
publisher = "Springer New York",
number = "6",

}

Serous cyst adenoma of the pancreas : Appraisal of active surgical strategy before it causes problems. / Hwang, Ho Kyoung; Kim, Hyunki; Kang, Chang Moo; Lee, Woo Jung.

In: Surgical endoscopy, Vol. 26, No. 6, 06.2012, p. 1560-1565.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Serous cyst adenoma of the pancreas

T2 - Appraisal of active surgical strategy before it causes problems

AU - Hwang, Ho Kyoung

AU - Kim, Hyunki

AU - Kang, Chang Moo

AU - Lee, Woo Jung

PY - 2012/6

Y1 - 2012/6

N2 - 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 (P\0.05). 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, R2 = 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.

AB - 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 (P\0.05). 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, R2 = 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.

UR - http://www.scopus.com/inward/record.url?scp=84863983379&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84863983379&partnerID=8YFLogxK

U2 - 10.1007/s00464-011-2070-x

DO - 10.1007/s00464-011-2070-x

M3 - Article

C2 - 22179458

AN - SCOPUS:84863983379

VL - 26

SP - 1560

EP - 1565

JO - Surgical Endoscopy

JF - Surgical Endoscopy

SN - 0930-2794

IS - 6

ER -