title: Laparoscopic resection of pancreatic cystadenomas.
abstract: BACKGROUND
  Laparoscopic pancreatic resections have become increasingly frequent with good results reported by several centers. However, few studies have focused on laparoscopic treatment of pancreatic cystic lesions.
  
  
  OBJECTIVE
  To analyze the results of minimally invasive treatment of pancreatic cystic lesions.
  
  
  METHODS
  Were included all laparoscopic pancreatic resections performed at three centers. Surgical procedures included resection of the pancreas and left enucleations (with or without splenectomy). The post-operative complications were classified according to the classification proposed by Clavien and Dindo6. The diagnosis of pancreatic fistula was confirmed if the amylase dosage of the drainage liquid in the third postoperative day was more than three times the amount of serum amylase.
  
  
  RESULTS
  Were performed 44 laparoscopic pancreatic resections. Fifteen patients underwent surgery for suspected pancreatic cystadenoma and 13 had this diagnosis confirmed. There were 12 women (92%), and the average age of patients was 50 years. Six patients had minor postoperative complications. There were five (38%) pancreatic fistulas, neither considered as severe (C), and only one patient required hospital readmission and radiological drainage. In this series, there were no conversions, reoperations, or mortality.
  
  
  CONCLUSIONS
  The laparoscopic approach is a safe and effective option for the treatment of pancreatic cystic lesions. The incidence of pancreatic fistula has good evolution and not diminishes the benefits of minimally invasive surgery.
authors: Departamento de Cirurgia Geral e Oncológica, Hospital do Servidor Público Estadual de São Paulo, SP, Brasil. jose.farah@einstein.br
authors: José Francisco de Mattos
authors: JF
authors: Farah
authors: Renato Micelli
authors: RM
authors: Lupinacci
authors: Franz R
authors: FR
authors: Apodaca-Torres
mesh_terms: D000328:Adult; D000368:Aged; D003537:Cystadenoma / Q000601:surgery*; D005260:Female; D006801:Humans; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D010180:Pancreatectomy / Q000379:methods*; D010190:Pancreatic Neoplasms / Q000601:surgery*; D012189:Retrospective Studies