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[Endovascular procedures in pancreatic surgery].
A Sh Revishvili1, A G Kriger1, D S Gorin1
1Vishnevsky Institute of surgeru of Healthcare Ministry of the Russian Federation, Moscow, Russia.
Khirurgiia
|April 27, 2018
Summary
Endovascular techniques effectively treat false aneurysms in chronic pancreatitis and control postoperative bleeding after pancreatectomy, offering a minimally invasive solution for complex vascular issues.
Area of Science:
- Vascular Surgery
- Interventional Radiology
- Gastroenterology
Background:
- Chronic pancreatitis can lead to serious complications like false aneurysms (FA).
- Postoperative hemorrhage is a significant risk following pancreatectomy.
- Endovascular techniques offer potential solutions for these challenging vascular issues.
Purpose of the Study:
- To evaluate the effectiveness of endovascular techniques (EVT) in managing false aneurysms in chronic pancreatitis.
- To assess the efficacy of EVT in achieving hemostasis for postoperative bleeding after pancreatectomy.
Main Methods:
- Retrospective analysis of 51 patients undergoing EVT between 1995-2017.
- EVT methods included embolization and stenting to exclude false aneurysms.
- Endovascular hemostasis for postoperative bleeding involved embolization of damaged vessels or stent-graft deployment.
Main Results:
- Successful thrombosis of false aneurysms in all 35 treated patients.
- EVT achieved definitive treatment for 14 patients with FA not communicating with the pancreatic duct.
- Hemostasis was achieved in all 16 patients with post-pancreatectomy bleeding, with two requiring repeat intervention.
Conclusions:
- Endovascular treatment is effective for thrombosis of false aneurysms in chronic pancreatitis.
- EVT provides successful hemostasis for postoperative bleeding after pancreatectomy.
- These minimally invasive techniques offer a valuable therapeutic option in complex pancreatic surgery cases.
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