Arterial pseudoaneurysms following hepato-pancreato-biliary surgery: a single center experience.

IF 0.1 Q4 GASTROENTEROLOGY & HEPATOLOGY

Journal of the Pancreas Pub Date : 2015-01-31 DOI:10.6092/1590-8577/2907

Benedetto Ielpo, Riccardo Caruso, Antonio Prestera, Giuseppe Massimiano De Luca, Hipolito Duran, Eduardo Diaz, Isabel Fabra, Sergio Olivares, Yolanda Quijano, Emilio Vicente

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引用次数: 5

Abstract

Context: Arterial pseudoaneurysm is an uncommon lethal complication following hepato-pancreato-biliary surgery.

Objective: Aim of this study is to present and discuss the experience of a high volume oncological center.

Methods: Since 2007 all major surgeries performed at Sanchinarro Oncological Center have been included in a prospective database looking for postoperative arterial pseudonaurysm.

Results: Until June 2014, among 559 hepato-pancreato-biliary procedures, a total of 14 arterial pseudoaneurysms have been identified (2.5%). Sentinel bleeding was in 57% of cases. Failed arterial embolization occurred in 2 cases. Overall mortality rate was 28.5%. We also identified 3 asymptomatic pseudoaneurysms, one of them managed without embolization, developing a sudden bleeding and died after surgery.

Conclusions: According to our experience, pseudoaneurysm incidence is higher than reported in current literature and it can be successfully managed through arterial embolization. Furthermore, we found 3 asymptomatic pseudoaneurysms, whose management is still controversial.

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肝-胰-胆手术后动脉假性动脉瘤:单中心经验。

背景:动脉假性动脉瘤是肝胰胆手术后罕见的致死性并发症。目的:本研究的目的是介绍和讨论高容量肿瘤中心的经验。方法:自2007年以来，在Sanchinarro肿瘤中心进行的所有大手术都被纳入一个前瞻性数据库，寻找术后动脉假性aurysm。结果:截至2014年6月，在559例肝-胰-胆手术中，共发现14例动脉假性动脉瘤(2.5%)。57%的病例发生前哨出血。动脉栓塞失败2例。总死亡率为28.5%。我们也发现了3个无症状的假性动脉瘤，其中一个没有栓塞处理，发展为突然出血并在手术后死亡。结论:根据我们的经验，假性动脉瘤的发生率比目前文献报道的要高，可以通过动脉栓塞成功治疗。此外，我们发现3个无症状的假性动脉瘤，其治疗仍有争议。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of the Pancreas GASTROENTEROLOGY & HEPATOLOGY-

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