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16.04.2019 | main topic | Ausgabe 3/2019 Open Access

European Surgery 3/2019

Interventional management after complicated pancreatic surgery

European Surgery > Ausgabe 3/2019
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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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.


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.


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.


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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