Pancreatic true
cysts represent a rare, heterogeneous group of pancreatic
tumors; therapeutic strategy is based on patient's general status,
cyst topography, and especially the estimated risk of
malignancy. This paper aim is to present 7 cases of pancreatic true
cysts, operated on a six years period (January 2004-January 2010) in our surgical clinic: 2 men and 5 women, aged between 24-61 years old;
cyst diameter varies between 3.5-15 cm,
tumor location being pancreatic head in two cases and the distal pancreas in 5 cases. Surgical treatment consisted in
cyst enucleation (two cases), splenopancreatectomy (three cases),
duodenopancreatectomy (one case), and subtotal splenopancreatectomy (one case). Histology was represented by
serous cystadenoma (one case),
mucinous cystadenoma (2 cases), intraductal papillary
mucinous cystadenoma (one case), and
papillary cystadenocarcinoma (3 cases).Postoperative results were good in all cases, with 3 postoperative pancreatic
external fistulas, resolved conservatory; no case of post-
pancreatectomy diabetes mellitus was registered. In conclusion, surgical removal of the pancreatic cystic
tumors is necessary, especially due to the risk of
malignancy, at least in the absence of rigorous histological proofs of benignancy. Postoperative results are favorable in terms of postoperative morbidity and mortality.