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16.04.2019 | main topic Open Access

Interventional management after complicated pancreatic surgery

Zeitschrift:
European Surgery
Autoren:
Daniel Putzer, Peter Schullian, Stefan Stättner, Florian Primavesi, Eva Braunwarth, Margot Fodor, Benno Cardini, Thomas Resch, Rupert Oberhuber, Manuel Maglione, Christian Margreiter, Stefan Schneeberger, Dietmar Öfner, Reto Bale, Werner Jaschke
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Summary

Background

Despite 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.

Methods

Interventional 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.

Results

Post-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.

Conclusions

Radiologic 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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