经皮胆道融合治疗十二指肠-头-胰切除术后肝-空肠吻合完全破裂

IF 0.9 Q4 GASTROENTEROLOGY & HEPATOLOGY
F. Andresciani, G. Pacella, E. Faiella, Andrea Buoso, C. Altomare, R. Grasso
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引用次数: 0

摘要

肝十二指肠造口术是包括胰十二指肠切除术在内的许多外科手术的重要组成部分。HJS术后胆道渗漏是导致相关临床问题的主要并发症:手术再干预的术后死亡率可能达到70%,而内镜治疗由于术后解剖结构的原因在技术上很困难。介入放射学对这些患者起着关键作用。介绍了一例经皮胆道减压手术治疗十二指肠-头胰腺切除术后HJA裂开的病例,该手术成功地避免了一种新的手术方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Percutaneous Biliary Rendez-Vous to Treat Complete Hepatic-Jejunal Anastomosis Dehiscence after Duodeno-Cephalo-Pancreasectomy
Hepaticojejunostomy is an essential component of many surgical procedures, including pancreaticoduodenectomy. Biliary leaks after HJS represent a major complication leading to relevant clinical problems: the postoperative mortality rate could reach 70% for surgical re-intervention, whereas endoscopic management is technically difficult due to the postoperative anatomy. Interventional Radiology plays a pivotal role for these patients. The case of a percutaneous biliary rendez-vous procedure performed to treat an HJA dehiscence after duodeno-cephalo-pancreasectomy is presented, which is successfully guaranteed to avoid a new surgical approach.
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来源期刊
CiteScore
1.50
自引率
0.00%
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审稿时长
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