Modified Retroperitoneal Access for Percutaneous Intervention after Pancreaticoduodenectomy

Pua, Uei; Quek, Lawrence Han Hwee

doi:10.3348/kjr.2013.14.3.446

Cited by 2 publications

(2 citation statements)

References 8 publications

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“…18). Following PD, a collection in the deep surgical bed surrounding the pancreatic-intestinal anastomosis can be accessed through the right anterior pararenal fascia using hydrodissection for displacement of the colon [68]. Subphrenic collections are common in both the post-operative setting and pancreatitis and preferably drained via a subcostal approach to avoid pleural transgression and associated risks of fistula and empyema.…”

Section: Access Routesmentioning

confidence: 99%

Percutaneous biopsy and drainage of the pancreas

Planz

Galgano

2021

Abdom Radiol

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Percutaneous pancreatic interventions performed by abdominal radiologists play important diagnostic and therapeutic roles in the management of a wide range of pancreatic pathology. While often performed with endoscopy, pancreatic mass biopsy obtained via a percutaneous approach may serve as the only feasible option for diagnosis in patients with post-surgical anatomy, severe cardiopulmonary conditions, or prior non-diagnostic endoscopic attempts. Biopsy of pancreatic transplants are commonly performed percutaneously due to inaccessible location of the allograft by endoscopy, usually in the right lower quadrant or pelvis. Percutaneous drainage of collections in acute pancreatitis is primarily indicated for infection with clinical deterioration and may be performed alone or in combination with endoscopic drainage. Post-surgical pancreatic collections related to pancreatic duct fistula or leak also often warrant therapeutic percutaneous drainage. Knowledge of appropriate indications, strategies of approach, technique, and complications associated with these procedures is critical for a successful clinical practice.

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Section: Access Routesmentioning

confidence: 99%

Percutaneous biopsy and drainage of the pancreas

Planz

Galgano

2021

Abdom Radiol

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“…We read the article titled 'Modified Retroperitoneal Access for Percutaneous Intervention after Pancreaticoduodenectomy' by Uei Pua et al ( 1 ) published in Korean J Radiol (2013;14:446-450) with a great interest. Therein, authors reported two cases which needed retroperitoneal access.…”

mentioning

confidence: 99%