[Surgical treatment of pancreatic cystic neoplasms: follow-up or surgical intervention].
Pancreatic cystic neoplasm(PCN) are common and increasingly detected in recent years including serous cystic neoplasms, mucinous cystic neoplasms, intraductal papillary mucinous neoplasms, solid pseudopapillary neoplasms and cystic pancreatic neuroendocrine tumors.Some of PCN have a low risk of malignancy while others have a high risk and need interventions, even in the same type of cystic neoplasms. The management of PCN requires risk stratification for malignant potential, and clinicians should have a systematic approach for establishing a diagnosis and determining which patients require surgical treatment. Under the guidance of minimally invasive surgery, some organ preserving procedures including tumor enucleation, segmental pancreatic resection, duodenum-preserving total or subtotal pancreatic head resection, and spleen-preserving pancreatic body and tail resection are recommended for treatment of PCN. The indications for follow-up or surgical intervention for treatment of PCN patients should be mastered strictly to avoid either insufficient- or over-treatment.
Department of General Surgery, Peking University First Hospital, Beijing 100034, China.
X D
XD
Tian
Y M
YM
Yang
D004386:Duodenum; D006801:Humans; D010179:Pancreas; D010190:Pancreatic Neoplasms / Q000601:surgery*; D018570:Risk Assessment