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World J Gastroenterol. 2013 Dec 7;19(45):8453-8. doi: 10.3748/wjg.v19.i45.8453.

Successful interventional radiological management of postoperative complications of laparoscopic distal pancreatectomy.

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  • 1Yi-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.


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.

© 2013 Baishideng Publishing Group Co., Limited. All rights reserved.


Interventional radiology; Laparoscopy; Pancreatectomy; Postoperative complications

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