Year 2019 / Volume 111 / Number 2
Editorial
Safe surgery for cystic tumors of the pancreas

85-86

DOI: 10.17235/reed.2019.6042/2018

Carlos Fernández del Castillo,

Abstract
Cystic tumors of the pancreas are a common indication for pancreatic surgery, and many of them are incidentally-discovered. Some of these tumors are malignant, and many others are pre-malignant. Less than two generations ago, pancreatic surgery was risky business. Surgical mortality, even in some of the best institutions in the world, was about 25%. Complications were very common and not infrequently patients required reoperations and had to remain in the hospital for weeks or even months. They emerged from this highly debilitated, and often went on to have a very poor quality of life. Not surprisingly, for these reasons, pancreatic resection was used only as a “last resort”, and mostly for cancer.
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References
1. Hata T, Fuyuhiko M, Masaharu I, et al. Effect of hospital volume on surgical outcomes after pancreaticoduodenectomy: A systematic review and meta-analysis. Ann Surg 2016; 263:664-672.
2. Hurtado Pardo L, Alvarez Cienfuegos J, Antoñanzas J, et al. Cystic Tumors of the pancreas. An update of the surgical experience in a single institution. Rev Esp Enferm Dig 2018 Nov 8:111. Doi: 10.17235/reed.2018.5798/2018 [Epub ahead of print].
3. Farrell JJ, Fernández-del Castillo C. Pancreatic cystic neoplasms: management and unanswered questions. Gastroenterology 2013; 144:1303-1315
4. Tanaka M, Fernández-del Castillo C, Kamisawa T, et al. Revisions of the International consensus Fukuoka guidelines for the Management of IPMN of the pancreas. Pancreaetology 2017; 17:738-753.
5. The European Study Group on Cystic Tumors of the Pancreas. European evidence-based guidelines on pancreatic cystic neoplasms. Gut 2018; 67:789-804
6. Valsangkar NP, Morales-Oyarvide V, Thayer SP, et al. 851 resecteed cystic tumors of the pancreas: a 33-year experience at the Massachusetts General Hospital. Surgery 2012; 152:S4-S12.
7. Fong ZV, Ferrone CR, Thayer SP, et al. Understanding hospital readmissions after pancreaticoduodenectomy: Can we prevent them? J Gastrointest Surg 2014; 18: 137-144.
8. Pergolini I, Sahora K, Ferrone CR, et al. Long-term risk of pancreatic malignancy in patients with branch duct intraductal papillary mucinous neoplasm in a referral center. Gastroenterology 2017; 153:1284-1294.
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Fernández del Castillo C. Safe surgery for cystic tumors of the pancreas. 6042/2018


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Publication history

Received: 13/11/2018

Accepted: 17/11/2018

Online First: 11/02/2019

Published: 01/02/2019

Article Online First time: 90 days

Article editing time: 80 days


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