الفهرس 
INTRODUCTIONOnly 14 pages are availabe for public view
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Abstract
In the current retrospective study, total of 20 patients presented at GIT surgical unit at Alexandria main University Hospital, Egypt from January 2015 to December 2019 were revised to study the different types PCNs, surgical management and its outcome. The patient data in this study which were reviewed and collected from medical record included the following; patient history, clinical examination, laboratory investigations, imaging findings, type of surgical procedure performed, histopathology result, early post operative outcome, and duration of hospital stay
In the current study, most patients affected by PCNs were females (70%) with the mean age at diagnosis was 51years (range 20-75). The most common type PCNs was IPMN accounting for 35%, followed by SPEN accounting for 30%, others were MCNs in 25% of the cases and SCNs 10%. The most common location of the cysts was pancreatic tail accounting for 50% of the cases. Others were pancreatic head in 25%, body of the pancreas in 15% and diffused involvement of the pancreas in 10% of the cases. Significant features associated with HG/ malignancies were calcification and thick wall septation.
Majority of the patients (90%) were symptomatic at diagnosis with the most common presented symptoms were abdominal pain, abdominal mass, jaundice and weight loss. Ninety percent of the patients were operated; the surgical resection of the cysts was done based on the location of the cysts. Most common operation performed was distal pancreatectomy with or without splenic preservation accounting for 61.7%. Others were pancreaticoduodenectomy, total pancreatectomy and enucleation.
In the current study, 55% of the patients developed post operative complications of which majority of them were conservatively managed. The most common complication was delayed gastric emptying accounting for 22%, others were intraperitoneal collection, wound infection, chest infection and diabetes mellitus. Mortality occurred in one (5.6%) patients due to massive chest infection and respiratory failure. Hospital stay ranged from 10-28 days, shortest stay seen post DP with splenic preservation and longest stay seen post total pancreatectomy.