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首页> 外文期刊>Abdominal radiology. >Imaging of post-operative pancreas and complications after pancreatic adenocarcinoma resection
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Imaging of post-operative pancreas and complications after pancreatic adenocarcinoma resection

机译：胰腺癌切除后术后胰腺和并发症的成像

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Pancreatic ductal adenocarcinoma is one of the leading causes of cancer-related deaths. With surgical resection being the only definitive treatment, improvements in technique has led to an increase in number of candidates undergoing resection by inclusion of borderline resectable disease patients to the clearly resectable group. Post-operative complications associated with pancreaticoduodenectomy and distal pancreatectomy include delayed gastric emptying, anastomotic failures, fistula formation, strictures, abscess, infarction, etc. The utility of dual-phase CT with multiplanar reconstruction and 3D rendering is increasingly recognized as a tool for the assessment of complications associated with vascular resection and reconstruction such as hemorrhage, pseudoaneurysm, vascular thrombosis, and ischemia. Prompt recognition of the complications and distinction from benign post-operative findings such as hepatic steatosis and mesenteric fat necrosis on imaging plays a key role in helping decrease the morbidity and mortality associated with surgery. We discuss, with case examples, some of such common and uncommon findings on imaging to familiarize the abdominal radiologists evaluating post-operative imaging in both acute and chronic post-operative settings.
机译：胰腺导管腺癌是癌症相关死亡的主要原因之一。通过手术切除是唯一的最终治疗，通过将边缘可重复的疾病患者纳入清晰可重置的群体，技术的改善导致了正在进行切除的候选者数量。与胰腺癌切除术和远端胰腺切除术相关的术后并发症包括延迟胃排空，吻合术失败，瘘管形成，狭窄，脓肿，梗塞等。双相CT与多平坦重建和3D渲染的效用越来越被认为是工具评估与血管切除和重建相关的并发症，如出血，假肿瘤，血管血栓形成和缺血。迅速识别良性术后结果的并发症和区别，例如肝脏脂肪变性和成像性的肠系膜脂肪坏死在有助于降低与手术相关的发病率和死亡率方面发挥着关键作用。我们讨论了案例例子，一些关于成像的常见和罕见的结果，以熟悉腹部放射学家评估急性和慢性术后设置的术后显像。

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