PANCERATIC ENDOCRINE FUNCTION AFTER SURGICAL TREATMENT FOR PANCREATIC CYSTS

Abstract

Fourteen patients with pancreatic cysts who had undergone surgical treatment between 1975 and 1987 were retrospectively investigated. Surgical treatments performed on these patients consisted of simple drainage for 3 patients, distal pancreatectomy for 8, pancreatoduodenectomy, total pancreatectomy, and total pancreatectomy follwoed by segmental auto-transplantation for eachone. Abdominal pain still remained postoperatively in two of the three patients undergone simple drainage. Eleven patients undergone pancreatectomy for removal of cysts had not any abdominal pain postoperatively. Complete extirpation of pancreatic cysts by pancreatectomy is preferable because of effective relief of pain. All patients who had distal pancreatectomy did not require insulin supplement. In five patients who underwent distal pancreatectomy. no remarkable change in glucose tolerance was observed postoperatively.