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Baishideng Publishing Group, World Journal of Gastroenterology, 45(19), p. 8453

DOI: 10.3748/wjg.v19.i45.8453

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Successful interventional radiological management of postoperative complications of laparoscopic distal pancreatectomy

Journal article published in 2013 by Jun Ni, Ren-Biao Chen, Yi-Ping Zhu, Erik Matro, Xiao-Wu Xu, Bin Li, Hong-Jie Hu, Yi-Ping Mou
This paper is made freely available by the publisher.
This paper is made freely available by the publisher.

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Abstract

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.