Which description matches marsupialization in the context of pancreatic cyst treatment?

• A. Removing the cyst
• B. Draining the cyst by catheter
• C. Creating an opening in the cyst and suturing it open to drain
• D. Suturing the cyst closed

Answer: (C)

Marsupialization means surgically opening the cyst and suturing its edges to the surrounding tissue so the cyst remains an open drainage tract. This creates a permanent opening that allows fluid to drain continuously, easing pressure and promoting healing. It’s used for pancreatic cysts like pseudocysts to establish drainage rather than simply removing the cyst or using a temporary catheter. It’s different from removing the cyst entirely, which is excision; from using a catheter to drain temporarily (which is not maintaining a permanent opening); or from closing the cyst off, which would stop drainage.