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Necrotizing pancreatitis after radiofrequency destruction of pancreatic tumours
1Department of Surgical Oncology, Gustave Roussy Institute, 39 Rue Camille Desmoulins, 94805 Villejuif, Cedex, France. elias@igr.fr
Background:
Intraoperative radiofrequency (RF) can be used to treat multiple small pancreatic tumours.
Patients And Methods:
Two patients with multiple pancreatic metastases from renal cancer were treated with RF destruction of the pancreatic tumours. The first was treated with a monopolar device and the second with a bipolar device. A high temperature (>90 degrees C) was used, and one patient underwent cooling of the intrapancreatic common bile duct.
Results:
The destruction of tumours was effective. However, the two patients presented post-operatively a severe necrotizing pancreatitis, with life-threatening hemorrhagic complications.
Conclusion:
RF destruction of pancreatic tumours is dangerous with current devices.
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