Abstract
The complexity of pancreatic surgery along with technical variations in the types of anastomoses makes accurate understanding of normal postoperative appearances and complications imperative to avoid misdiagnosis. Mortality from surgery has significantly reduced as a result of modern interventional radiology techniques to promptly deal with complications such as hemorrhage and intra-abdominal sepsis resulting from pancreatic anastomotic leak (Zink et al. 2009). Interventional radiology is also increasingly utilized in the management of complications resulting from acute pancreatitis (Connor et al. 2005).
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References
Bluemke DA, Abrams RA, Yeo FE. Recurrent pancreatic adenocarcinoma: spiral CT evaluation following the Whipple procedure. Radiographics. 1997;17(2):303–13.
Bonney GK, Gomez D, Rahman SH, Verbeke CS, Prasad KR, Toogood GJ, Lodge JP, Menon KV. Results following surgical resection for malignant pancreatic neuroendocrine tumours. A single institutional experience. JOP. 2008;9(1):19–25.
Cataldegirmen G, Schneider CG, Bogoevski D, Koenig A, Kaifi JT, Bockhorn M, Deutsch LS, Vashist Y, Izbicki JR, Yekebas EF. Extended central pancreatic resection as an alternative for extended left or extended right resection for appropriate pancreatic neoplasms. Surgery. 2010;147(3):331–8.
Connor S, Raraty MG, Howes N, Evans J, Ghaneh P, Sutton R, Neoptolemos JP. Surgery in the treatment of acute pancreatitis-minimal access pancreatic necrosectomy. Scand J Surg. 2005;94(2):135–42.
De Castro SM, Busch OR, van Gulik TM, Obertop H, Gouma DJ. Incidence and management of pancreatic leakage after pancreatoduodenectomy. Br J Surg. 2005;92(9):1117–23.
Fahy BN, Frey CF, Ho HS, Beckett L, Bold RJ. Morbidity, mortality, and technical factors of distal pancreatectomy. Am J Surg. 2002;183(3):237–41.
Fendrich V, Langer P, Celik I, Bartsch DK, Zielke A, Ramaswamy A, Rothmund M. An aggressive surgical approach leads to long term survival in patients with pancreatic endocrine tumors. Ann Surg. 2006;244(6):845–51; discussion 852–3.
Freed S, Paulson E, Frederick M. Abdomen after a puestow procedure: postoperative CT appearance, complications and potential pitfalls. Radiology. 1997;203:790–4.
Gomez D, Malik HZ, Al-Mukthar A, Menon KV, Toogood GJ, Lodge JP, Prasad KR. Hepatic resection for metastatic gastrointestinal and pancreatic neuroendocrine tumours: outcome and prognostic predictors. HPB (Oxford). 2007;9(5):345–51.
Harrison LE, Klimstra DS, Brennan MF. Isolated portal vein involvement in pancreatic adenocarcinoma. A contraindication for resection? Ann Surg. 1996;224(3):342–7; discussion 347–9.
Hashimoto M, Koga M, Ishiyama K, Watarai J, Shibata S, Sato T, Yamamoto Y. CT features of pancreatic fistula after Pancreaticoduodenectomy. AJR Am J Roentgenol. 2007;188(4):W323–7.
Ito M, Horiguchi A, Asano Y, Yamamoto T, Tuda K, Morigaki S, Shimura M, Uyama I, Miyakawa S. Spleen-preserving distal pancreatectomy performed laparoscopically. Hepatogastroenterology. 2010;57(97):162–4.
Jagad RB, Koshariya M, Kawamoto J, Chude GS, Neeraj RV, Lygidakis NJ. Postoperative haemorrhage after major pancreatobiliary surgery: an update. Hepatogastroenterology. 2008;55(82–83):729–37.
Köninger J, Seiler CM, Sauerland S, Wente MN, Reidel MA, Müller MW, Friess H, Büchler MW. Duodenum-preserving pancreatic head resection-a randomized controlled trial comparing the original Beger procedure with the Berne modification (ISRCTN No. 50638764). Surgery. 2008;143(4):490–8.
Menon KV, Gomez D, Smith AM, Anthoney A, Verbeke CS. Impact of margin status on survival following pancreatoduodenectomy for cancer: the Leeds Pathology Protocol (LEEPP). HPB (Oxford). 2009;11(1):18–24.
Mortele KJ, Lemmerling M, Hemptinne D, De Vos M, De Bock G, Kunnen M. Postoperative findings following the Whipple procedure: determination of prevalence and morphologic abdominal CT features. Eur Radiol. 2000;10(1):123–8.
Müller MW, Friess H, Leitzbach S, Michalski CW, Berberat P, Ceyhan GO, Hinz U, Ho CK, Köninger J, Kleeff J, Büchler MW. Perioperative and follow up results after central pancreatic head resection (Berne technique) in a consecutive series of patients with chronic pancreatitis. Am J Surg. 2008;196(3):364–72.
Pedrazzoli S, DiCarlo V, Dionigi R, Mosca F, Pederzoli P, Pasquali C, Klöppel G, Dhaene K, Michelassi F. Standard versus extended lymphadenectomy associated with pancreatoduodenectomy in the surgical treatment of adenocarcinoma of the head of the pancreas: a multicenter, prospective, randomized study. Lymphadenectomy Study Group. Ann Surg. 1998;228(4):508–17.
Sandrasegaran K, Maglinte D, Howard T, Lappas J. Surgery for chronic pancreatitis: cross sectional imaging of postoperative anatomy and complications. AJR Am J Roentgenol. 2005;184:1118–27.
Scialpi M, Scaglione M, Volterrani L, Ragozzino A, Romano S, Rotondo A. Imaging evaluation of post pancreatic surgery. Eur J Radiol. 2005;53(3):417–24.
Sohn TA, Yeo CJ, Cameron JL, Geschwind JF, Mitchell SE, Venbrux AC, Lillemoe KD. Pancreaticoduodenectomy: role of interventional radiologists in managing patients and complications. J Gastrointest Surg. 2003;7(2):209–19.
Smith SL, Hampson F, Duxbury M, Rae DM, Sinclair MT. Computed tomography after radical pancreaticoduodenectomy (Whipple’s procedure). Clin Radiol. 2008;63:921–8.
Strasberg SM, Drebin JA, Linehan D. Radical antegrade modular pancreatosplenectomy. Surgery. 2003;133(5):521–7.
Strate T, Taherpour Z, Bloechle C, Mann O, Bruhn JP, Schneider C, Kuechler T, Yekebas E, Izbicki JR. Long-term follow-up of a randomized trial comparing the Beger and Frey procedures for patients suffering from chronic pancreatitis. Ann Surg. 2005;241(4):591–8.
Terrace JD, Paterson HM, Garden OJ, Parks RW, Madhavan KK. Results of decompression surgery for pain in chronic pancreatitis. HPB (Oxford). 2007;9(4):308–11.
Verbeke CS, Menon KV. Redefining resection margin status in pancreatic cancer. HPB (Oxford). 2009;11(4):282–9.
Wagner M, Redaelli C, Lietz M, Seiler CA, Friess H, Büchler MW. Curative resection is the single most important factor determining outcome in patients with pancreatic adenocarcinoma. Br J Surg. 2004;91(5):586–94.
Wente MN, et al. Postpancreatectomy hemorrhage (PPH): an International Study Group of Pancreatic Surgery (ISGPS) definition. Surgery. 2007;142(1):20–5.
Whipple AO, Parsons WB, Mullins CR. Treatment of carcinoma of the ampulla of Vater. Ann Surg. 1935;102:763–79.
Ym Y, Tian XD, Zhuang Y. Risk factors of pancreatic leakage after pancreaticoduodenectomy. World J Gastroenterol. 2005;11(16):2456–61.
Zink SI, Soloff EV, White RR, Clary BM, Tyler DS, Pappas TN, Paulson EK. Pancreaticoduodenectomy: frequency and outcome of post-operative imaging-guided percutaneous drainage. Abdom Imaging. 2009;34(6):767–71.
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Menon, K., Brittenden, J., McPherson, S., Bhuskute, N.M., Smith, A. (2012). The Pancreas. In: Brittenden, J., Tolan, D. (eds) Radiology of the Post Surgical Abdomen. Springer, London. https://doi.org/10.1007/978-1-4471-2775-8_4
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DOI: https://doi.org/10.1007/978-1-4471-2775-8_4
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