Modified Retroperitoneal Access for Percutaneous Intervention after Pancreaticoduodenectomy.
10.3348/kjr.2013.14.3.446
- Author:
Uei PUA
1
;
Lawrence H H QUEK
Author Information
1. Department of Diagnostic Radiology, Tan Tock Seng Hospital, Singapore 308433, Singapore. druei@yahoo.com
- Publication Type:Case Reports
- Keywords:
Pancreaticoduodenectomy;
Percutaneous;
Retroperitoneal
- MeSH:
Abscess/radiography/therapy;
Bile Duct Neoplasms/pathology/radiography;
Biopsy/methods;
Catheterization/*methods;
Cholangiocarcinoma/pathology/radiography;
Drainage/instrumentation/*methods;
Humans;
Male;
Middle Aged;
Neoplasm Recurrence, Local/pathology/radiography;
Pancreatic Diseases/radiography/therapy;
*Pancreaticoduodenectomy;
Postoperative Complications/radiography/*therapy;
Radiography, Interventional/methods;
Retroperitoneal Space
- From:Korean Journal of Radiology
2013;14(3):446-450
- CountryRepublic of Korea
- Language:English
-
Abstract:
Percutaneous access to the surgical bed after pancreaticoduodenectomy can be a challenge, due to the post-operative anatomy alteration. However, immediate complications, such as surgical bed abscess or suspected tumor recurrence, are often best accessed percutaneously, as open surgical or endoscopic approaches are often difficult, if not impossible. We, hereby, describe a safe approach that is highly replicable, in accessing the surgical bed for percutaneous intervention, following pancreaticoduodenectomy.