title: Modified retroperitoneal access for percutaneous intervention after pancreaticoduodenectomy.
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.
authors.affiliation: Department of Diagnostic Radiology, Tan Tock Seng Hospital, Singapore 308433, Singapore. druei@yahoo.com
authors.forename: Uei
authors.initials: U
authors.lastname: Pua
authors.forename: Lawrence H H
authors.initials: LH
authors.lastname: Quek
mesh_terms: D000038:Abscess / Q000000981:diagnostic imaging / Q000628:therapy; D001650:Bile Duct Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology; D001706:Biopsy / Q000379:methods; D002404:Catheterization / Q000379:methods*; D018281:Cholangiocarcinoma / Q000000981:diagnostic imaging / Q000473:pathology; D004322:Drainage / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000000981:diagnostic imaging / Q000473:pathology; D010182:Pancreatic Diseases / Q000000981:diagnostic imaging / Q000628:therapy; D016577:Pancreaticoduodenectomy; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000628:therapy*; D015641:Radiography, Interventional / Q000379:methods; D012187:Retroperitoneal Space
keywords: Pancreaticoduodenectomy; Percutaneous; Retroperitoneal