CYSTIC TUMORS OF THE PANCREAS

Thirty-three patients were operated on for cystic tumors of the pancre as at the Vishnevsky Institute of Surgery in 1980-90. Cystadenoma of t he pancreas was found in 16 (48.5 %) of them and cystadenocarcinoma in 15 (45.5 %). Fifteen (45.5 %) patients had been previously operated o n in different institutions presumably for a ''cyst'' of the pancreas, 6 of them repeatedly; the tumor recurred rapidly in all of them. In t he Institute 30 patients underwent radical operations: 30 distal resec tion of the pancreas and 5 pancreatoduodenal resection. Diagnostic and palliative manipulations were performed on 3 patients. Postoperative lethality was 9.1 % (3 patients). Postoperative follow-up periods last ed from 12 months to 9 years. Dissemination of the tumor occurred in 2 patients two years after the operation. The remaining 25 patients are alive and capable of working.