Abildgaard A, Kolmannskog F, Mathisen O, Bergan A
Department of Radiology, National Hospital, Oslo, Norway.
Acta Radiol. 1990 Nov;31(6):579-84.
Eighty-two CT examinations performed on 28 patients who had undergone a modified Whipple procedure including pancreatic duct occlusion were reviewed. Reduction of the antero-posterior diameter of the body and tail of the pancreatic remnant was observed on consecutive scans in 8 patients (29%). Decreasing liver attenuation was seen in 4 patients (14%) postoperatively, and pseudocysts in the pancreatic remnant in 6 (21%). In 10 examinations performed because of suspected intraabdominal abscess postoperatively, abscess was diagnosed in 2 patients. In 62 routine follow-up CT examinations, significant positive findings were diagnosed in 5 patients: tumor recurrence or metastases in 4, and a large pseudocyst in one. CT is of value in the early postoperative phase to reveal postoperative complications and in the follow-up of patients with specific symptoms indicating tumor recurrence or metastases.
对28例行改良Whipple手术（包括胰管闭塞）的患者进行的82次CT检查进行了回顾。在连续扫描中，8例患者（29%）观察到胰腺残体体部和尾部前后径缩小。4例患者（14%）术后出现肝脏密度减低，6例（21%）胰腺残体内出现假性囊肿。在因术后怀疑腹腔内脓肿而进行的10次检查中，2例患者被诊断为脓肿。在62次常规随访CT检查中，5例患者诊断出明显阳性结果：4例为肿瘤复发或转移，1例为大的假性囊肿。CT在术后早期对揭示术后并发症以及对有提示肿瘤复发或转移的特定症状的患者进行随访方面具有价值。
