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Cystic Tumors of the Pancreas pp 123–129Cite as

Parenchyma-Sparing Pancreatic Resections in Cystic Tumors of the Pancreas

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Abstract

Cystic tumors of the pancreas have gained a relevant clinical importance during the last decade. They are diagnosed increasingly and often incidentally without any corresponding symptoms of the patient. Depending on their appearance and size, they bear a varying malignant potential ranging from nearly zero in serous cystic neoplasias up to 70 % in main-duct IPMN. This leads to the dilemma that clinicians have to face the challenge of management of these lesions and have to decide between observation strategies with a related risk of malignant transformation, leading to a significant impairment of the prognosis that may equal that of pancreatic carcinomas or a surgical intervention, which may be associated with a considerable morbidity and even mortality. Consequently, tailored surgical approaches have been developed in the management of these precursors of malignancy to minimize operation-associated morbidity and long-term consequences for the patients’ quality of life but offer the advantage of timely resection and thereby abolish the risk of malignancy in the respective lesion.

Regarding cystic neoplasias, these surgical techniques comprise enucleation and central pancreatectomy as the two major approaches that offer both advantages.

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Authors and Affiliations

  1. Department of Surgery, University of Heidelberg, Im Neuenheimer Feld 110, Heidelberg, 69120, Germany

    Thilo Hackert MD & Markus W. Büchler MD

Authors
  1. Thilo Hackert MD
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  2. Markus W. Büchler MD
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Correspondence to Markus W. Büchler MD .

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Editors and Affiliations

  1. Division of Surgery, Department of Clinical Science, Intervention and Technology (CLINTEC) Karolinska Institute at Center for Digestive Diseases Karolinska University Hospital, Stockholm, Sweden

    Marco Del Chiaro

  2. Center for Digestive Diseases Karolinska University Hospital, Stockholm, Sweden

    Stephan L. Haas

  3. Department of Surgery, University of Colorado at Denver Aurora, Colorado, USA

    Richard D. Schulick

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Hackert, T., Büchler, M.W. (2016). Parenchyma-Sparing Pancreatic Resections in Cystic Tumors of the Pancreas. In: Del Chiaro, M., Haas, S., Schulick, R. (eds) Cystic Tumors of the Pancreas. Springer, Cham. https://doi.org/10.1007/978-3-319-31882-0_11

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  • DOI: https://doi.org/10.1007/978-3-319-31882-0_11

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