The postsurgical pancreas

Author:

Fischbach Roman1,Peller Maximilian1,Perez Daniel2,Pohland Christopher2,Gübitz Raphael1

Affiliation:

1. Department of Radiology and Neuroradiology, Asklepios Klinik Altona, Hamburg, Germany

2. Department of General and Abdominal Surgery, Asklepios Klinik Altona, Hamburg, Germany

Abstract

Background Partial pancreatic resections are among the most complex surgical procedures in visceral tumor medicine and are associated with a high postoperative morbidity with a complication rate of 40–50 % of patients even in specialized centers. Methods Description of typical surgical resection procedures and the resulting postoperative anatomy, typical normal postoperative findings, common postoperative complications, and radiological findings. Results and conclusion CT is the most appropriate imaging technique for rapid and standardized visualization of postoperative anatomy and detection of clinically suspected complications after partial pancreatic resections. The most common complications are delayed gastric emptying, pancreatic fistula, acute pancreatitis, bile leakage, abscess, and hemorrhage. Radiologists must identify the typical surgical procedures, the postoperative anatomy, and normal postoperative findings as well as possible postoperative complications and know interventional treatment methods for common complications. Key points:  Citation Format

Publisher

Georg Thieme Verlag KG

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