OBJECTIVE: The objective was to determine whether surgical enucleation of mucinous @entity9296 is a safe and adequate operation. SUMMARY BACKGROUND DATA: @entity8940 of the pancreas are @entity5409 . Resection is the preferred treatment but often requires a pancreatoduodenectomy or a distal pancreatectomy with or without a splenectomy. Although these procedures can now be performed with a low mortality rate, substantial morbidity still occurs, especially in @entity1 who have an otherwise normal pancreas. METHODS: Between January 1990 and June 1997, 36 @entity8940 of the pancreas were resected at The Johns Hopkins Hospital. Most of these @entity1 underwent pancreatoduodenectomy or distal pancreatectomy. However, 10 @entity1 (28%) underwent enucleation of their @entity5 . These 10 @entity1 had a mean age of 63 years, and 6 were @entity1 . The @entity5409 was demonstrated by computed tomography in all @entity1 . Enucleation of the cyst was performed in each @entity1 , and four underwent another concomitant abdominal procedure. These 10 @entity1 were followed with periodic computed tomographic scans and clinical examinations. RESULTS: Enucleation took less time and was associated with less @entity190 than resection. @entity3472 occurred more frequently after enucleation, but the incidence of major complications was similar between the two groups. Follow-up after enucleation averaged 43 months, and none of the @entity1 developed late sequelae or recurrence. CONCLUSIONS: This experience suggests that enucleation of @entity8940 of the pancreas can be performed safely and that the recurrence rate is low after this procedure. The authors conclude that enucleation is an adequate procedure for @entity788 .

XXXX of the pancreas: is enucleation an adequate operation?

@entity1 :: ('9606', 'Species') :: ['patients', 'patient', 'men'] @entity788 :: ('MESH:D010190', 'Disease') :: ['benign cystic neoplasms of the pancreas'] @entity5409 :: ('MESH:D052177', 'Disease') :: ['premalignant cystic lesions', 'cystic lesion'] @entity5 :: ('MESH:D009369', 'Disease') :: ['cystic tumor'] @entity190 :: ('MESH:D006473', 'Disease') :: ['blood loss'] @entity3472 :: ('MESH:D010185', 'Disease') :: ['Pancreatic fistulas'] @entity8940 :: ('MESH:D018291', 'Disease') :: ['mucinous cystadenomas', 'Mucinous cystadenomas'] @entity9296 :: ('MESH:D003537', 'Disease') :: ['cystadenoma of the pancreas']
@entity9296 :: (MESH:D003537,Disease) :: ['Cystadenomas']
