日本インターベンショナルラジオロジー学会雑誌
Online ISSN : 2185-6451
Print ISSN : 1340-4520
ISSN-L : 1340-4520
膵癌術後,膵炎後の合併症とIVR
膵切除術後合併症の画像診断とIVR適応判断
上嶋 英介, 梅野 晃弘, 山中 智晴, 上月 瞭平, 佐々木 康二, 元津 倫幸, 祖父江 慶太郎, 山口 雅人, 村上 卓道
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2026 年 40 巻 2 号 p. 090-099

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Pancreatectomy is an extremely difficult operation involving anastomosis of the pancreatic duct to the gastrointestinal tract, with multiple resection techniques depending on the site of the lesion. Many serious complications can occur after pancreatectomy, including bleeding due to incomplete ligation during surgery, bleeding from a pancreatic fistula, infection, or vascular injury due to drain placement, and complications due to portal vein stenosis. Appropriate imaging and IVR treatment are crucial for early detection of these postoperative complications and prevention of serious complications. This article describes the typical complications that occur after pancreatectomy, including risk factors based on the surgical technique and pathophysiology, as well as key points for image interpretation.
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