title: Successful interventional radiological management of postoperative complications of laparoscopic distal pancreatectomy.
abstract: During the past decade, laparoscopic distal pancreatectomy (LDP) has gained increasing acceptance in the surgical community as a viable treatment option for distal pancreatic lesions. However, the possible complication of post-LDP pancreatic leakage remains a challenge, because it may lead to a series of events resulting in intraperitoneal abscess formation, sepsis, pseudoaneurysm formation, and occasional fatal hemorrhage. Dealing with these complications is extremely difficult and not much experience has been reported to date. We report a case involving the aforementioned post-LDP complications successfully managed by interventional radiological techniques while avoiding reoperation. We conclude that these management options are attractive, safe and minimally invasive alternatives to standard protocols.
authors.affiliation: Yi-Ping Zhu, Xiao-Wu Xu, Yi-Ping Mou, Department of General Surgery, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou 310016, Zhejiang Province, China.
authors.forename: Yi-Ping
authors.initials: YP
authors.lastname: Zhu
authors.affiliation: Yi-Ping Zhu, Xiao-Wu Xu, Yi-Ping Mou, Department of General Surgery, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou 310016, Zhejiang Province, China.
authors.forename: Jun-Jun
authors.initials: JJ
authors.lastname: Ni
authors.affiliation: Yi-Ping Zhu, Xiao-Wu Xu, Yi-Ping Mou, Department of General Surgery, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou 310016, Zhejiang Province, China.
authors.forename: Ren-Biao
authors.initials: RB
authors.lastname: Chen
authors.affiliation: Yi-Ping Zhu, Xiao-Wu Xu, Yi-Ping Mou, Department of General Surgery, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou 310016, Zhejiang Province, China.
authors.forename: Erik
authors.initials: E
authors.lastname: Matro
authors.affiliation: Yi-Ping Zhu, Xiao-Wu Xu, Yi-Ping Mou, Department of General Surgery, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou 310016, Zhejiang Province, China.
authors.forename: Xiao-Wu
authors.initials: XW
authors.lastname: Xu
authors.affiliation: Yi-Ping Zhu, Xiao-Wu Xu, Yi-Ping Mou, Department of General Surgery, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou 310016, Zhejiang Province, China.
authors.forename: Bin
authors.initials: B
authors.lastname: Li
authors.affiliation: Yi-Ping Zhu, Xiao-Wu Xu, Yi-Ping Mou, Department of General Surgery, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou 310016, Zhejiang Province, China.
authors.forename: Hong-Jie
authors.initials: HJ
authors.lastname: Hu
authors.affiliation: Yi-Ping Zhu, Xiao-Wu Xu, Yi-Ping Mou, Department of General Surgery, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou 310016, Zhejiang Province, China.
authors.forename: Yi-Ping
authors.initials: YP
authors.lastname: Mou
mesh_terms: D018784:Abdominal Abscess / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy; D057868:Anastomotic Leak / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy; D004322:Drainage / Q000379:methods*; D004621:Embolization, Therapeutic / Q000379:methods*; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D010180:Pancreatectomy / Q000009:adverse effects* / Q000379:methods; D010190:Pancreatic Neoplasms / Q000601:surgery*; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D015641:Radiography, Interventional; D018805:Sepsis / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
keywords: Interventional radiology; Laparoscopy; Pancreatectomy; Postoperative complications