手术后的胰腺

IF 1.3 4区 医学 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Rofo-fortschritte Auf Dem Gebiet Der Rontgenstrahlen Und Der Bildgebenden Verfahren Pub Date : 2024-10-01 Epub Date: 2024-02-19 DOI:10.1055/a-2254-5824
Roman Fischbach, Maximilian Peller, Daniel Perez, Christopher Pohland, Raphael Gübitz
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引用次数: 0

摘要

背景:胰腺部分切除术是内脏肿瘤医学中最复杂的外科手术之一,术后发病率高,即使在专业中心,并发症发生率也高达 40%-50%:方法:描述典型的手术切除程序和由此产生的术后解剖结构、典型的正常术后结果、常见的术后并发症以及放射学结果:结果和结论:CT 是胰腺部分切除术后快速、标准化观察术后解剖结构和发现临床疑似并发症的最合适影像技术。最常见的并发症是胃排空延迟、胰瘘、急性胰腺炎、胆汁渗漏、脓肿和出血。放射医师必须识别典型的手术过程、术后解剖、正常的术后结果以及可能出现的术后并发症,并了解常见并发症的介入治疗方法:- 胰腺手术后的发病率仍然很高。- CT是观察术后解剖结构的最佳方法,可用于早期发现并发症。- 胰瘘是胰腺切除术后最常见的相关并发症。- 中心处理并发症的能力是确保治疗成功的关键:- Fischbach R, Peller M, Perez D et al.手术后的胰腺Fortschr Röntgenstr 2024; DOI: 10.1055/a-2254-5824.
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The postsurgical pancreas.

Background:  Partial pancreatic resections are among the most complex surgical procedures in visceral tumor medicine and are associated with a high postoperative morbidity with a complication rate of 40-50 % of patients even in specialized centers.

Methods:  Description of typical surgical resection procedures and the resulting postoperative anatomy, typical normal postoperative findings, common postoperative complications, and radiological findings.

Results and conclusion:  CT is the most appropriate imaging technique for rapid and standardized visualization of postoperative anatomy and detection of clinically suspected complications after partial pancreatic resections. The most common complications are delayed gastric emptying, pancreatic fistula, acute pancreatitis, bile leakage, abscess, and hemorrhage. Radiologists must identify the typical surgical procedures, the postoperative anatomy, and normal postoperative findings as well as possible postoperative complications and know interventional treatment methods for common complications.

Key points:   · Morbidity after pancreatic surgery remains high.. · CT is the best method for visualizing postoperative anatomy and is used for early detection of complications.. · Pancreatic fistula is the most common relevant complication after pancreatic resection.. · The ability of a center to manage complications is crucial to ensure the success of therapy..

Citation format: · Fischbach R, Peller M, Perez D et al. The postsurgical pancreas. Fortschr Röntgenstr 2024; 196: 1037 - 1045.

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来源期刊
CiteScore
1.20
自引率
5.60%
发文量
340
期刊介绍: Die RöFo veröffentlicht Originalarbeiten, Übersichtsartikel und Fallberichte aus dem Bereich der Radiologie und den weiteren bildgebenden Verfahren in der Medizin. Es dürfen nur Arbeiten eingereicht werden, die noch nicht veröffentlicht sind und die auch nicht gleichzeitig einer anderen Zeitschrift zur Veröffentlichung angeboten wurden. Alle eingereichten Beiträge unterliegen einer sorgfältigen fachlichen Begutachtung. Gegründet 1896 – nur knapp 1 Jahr nach der Entdeckung der Röntgenstrahlen durch C.W. Röntgen – blickt die RöFo auf über 100 Jahre Erfahrung als wichtigstes Publikationsmedium in der deutschsprachigen Radiologie zurück. Sie ist damit die älteste radiologische Fachzeitschrift und schafft es erfolgreich, lange Kontinuität mit dem Anspruch an wissenschaftliches Publizieren auf internationalem Niveau zu verbinden. Durch ihren zentralen Platz im Verlagsprogramm stellte die RöFo die Basis für das heute umfassende und erfolgreiche Radiologie-Medienangebot im Georg Thieme Verlag. Besonders eng verbunden ist die RöFo mit der Geschichte der Röntgengesellschaften in Deutschland und Österreich. Sie ist offizielles Organ von DRG und ÖRG und die Mitglieder der Fachgesellschaften erhalten die Zeitschrift im Rahmen ihrer Mitgliedschaft. Mit ihrem wissenschaftlichen Kernteil und dem eigenen Mitteilungsteil der Fachgesellschaften bietet die RöFo Monat für Monat ein Forum für den Austausch von Inhalten und Botschaften der radiologischen Community im deutschsprachigen Raum.
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