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Interventional management after complicated pancreatic surgery

Authors
  • Putzer, Daniel1, 2
  • Schullian, Peter1, 2
  • Stättner, Stefan3
  • Primavesi, Florian3
  • Braunwarth, Eva3
  • Fodor, Margot3
  • Cardini, Benno3
  • Resch, Thomas3
  • Oberhuber, Rupert3
  • Maglione, Manuel3
  • Margreiter, Christian3
  • Schneeberger, Stefan3
  • Öfner, Dietmar3
  • Bale, Reto1, 2
  • Jaschke, Werner1
  • 1 Medical University Innsbruck, Department of Radiology, Innsbruck, Austria , Innsbruck (Austria)
  • 2 Medical University Innsbruck, Microinvasive Therapy—Interventional Oncology (SIP), Department of Radiology, Anichstr. 35, Innsbruck, 6020, Austria , Innsbruck (Austria)
  • 3 Medical University Innsbruck, Department of Surgery, Innsbruck, Austria , Innsbruck (Austria)
Type
Published Article
Journal
European Surgery
Publisher
Springer Vienna
Publication Date
Apr 16, 2019
Volume
51
Issue
3
Pages
105–113
Identifiers
DOI: 10.1007/s10353-019-0592-y
Source
Springer Nature
Keywords
License
Green

Abstract

BackgroundDespite technical advances in surgical resection and postoperative management of the pancreas, surgical procedures of the pancreas are associated with a high rate of complications, resulting in a relevant morbidity and mortality. Early diagnosis and management of complications associated with pancreas surgery is mandatory, favoring a multidisciplinary approach.MethodsInterventional radiology offers minimal invasive techniques to manage post-surgical complications. These procedures are highlighted in this review, including percutaneous drainage of fluid collections, percutaneous transhepatic biliary interventions, arterial embolisation and fistula embolisation.ResultsPost-surgical complications of pancreatic surgery are effectively managed by radiological procedures, offering a feasible and safe treatment with low morbidity rates. Accurate patient selection is key to an effective management of clinical situations where these interventions represent the first line approach.ConclusionsRadiologic procedures allow for minimal invasive treatment of postoperative complications after pancreatic surgery, reducing the time of hospitalization and the time of recovery.

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