Open AccessSuccessful interventional radiological management of postoperative complications of laparoscopic distal pancreatectomy
Author(s) -
Yiping Zhu,
Junjun Ni,
Renbiao Chen,
Erik Matro,
Xiaorong Xu,
Bin Li,
Hongjie Hu,
Yiping Mou
Publication year - 2013
Publication title -
world journal of gastroenterology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.427
H-Index - 155
eISSN - 2219-2840
pISSN - 1007-9327
DOI - 10.3748/wjg.v19.i45.8453
Subject(s) - medicine , radiological weapon , pancreatectomy , pseudoaneurysm , surgery , complication , laparoscopy , sepsis , pancreatitis , general surgery , radiology , resection
During the past decade, laparoscopic distal pancreatectomy (LDP) has gained increasing acceptance in the surgical community as a viable treatment option for distal pancreatic lesions. However, the possible complication of post-LDP pancreatic leakage remains a challenge, because it may lead to a series of events resulting in intraperitoneal abscess formation, sepsis, pseudoaneurysm formation, and occasional fatal hemorrhage. Dealing with these complications is extremely difficult and not much experience has been reported to date. We report a case involving the aforementioned post-LDP complications successfully managed by interventional radiological techniques while avoiding reoperation. We conclude that these management options are attractive, safe and minimally invasive alternatives to standard protocols.