**Core Concept**
Pancreatic ascites is a rare complication of pancreatic disease, characterized by the accumulation of fluid in the abdominal cavity due to pancreatic secretions. The condition often arises in the context of pancreatic pseudocysts, fistulas, or malignancies. The decision to proceed with surgical intervention is crucial in managing this condition.

**Why the Correct Answer is Right**
Surgical intervention is typically considered in cases of pancreatic ascites when there is evidence of a pancreatic fistula or pseudocyst that is refractory to conservative management. The goal of surgery is to address the underlying cause of the ascites, such as a pancreatic pseudocyst or fistula, and to prevent further fluid accumulation. Surgical options may include cystogastrostomy, cystojejunostomy, or distal pancreatectomy, depending on the underlying pathology.

**Why Each Wrong Option is Incorrect**
**Option A:** This option is incorrect because it does not provide a clear indication for surgical intervention. Conservative management is often the initial approach for pancreatic ascites, and surgery is usually reserved for cases that do not respond to medical therapy.
**Option B:** This option is incorrect because it does not specify a clear indication for surgery. While pancreatic ascites can be associated with pancreatic cancer, surgery is not always the first line of treatment for this condition.
**Option C:** This option is incorrect because it does not provide a clear indication for surgical intervention. Pancreatic ascites can be managed conservatively in the absence of a pancreatic fistula or pseudocyst.

**Clinical Pearl / High-Yield Fact**
A key factor in determining the need for surgical intervention in pancreatic ascites is the presence of a pancreatic fistula or pseudocyst that is refractory to conservative management. This highlights the importance of thorough diagnostic evaluation and careful patient selection for surgical intervention.

**Correct Answer: C.**