Stolte M, Gebhardt C, Hornig D
Chirurg. 1986 May;57(5):332-3.
In two cases, occlusion of the residual pancreas remaining after a Whipple's procedure was associated with a "spillover" of the occlusant into the venous system of the pancreas, resulting in one of the cases in embolisation of intrahepatic branches of the portal vein. In both cases, the parenchyma of the residual pancreas was well preserved. The cause of the spillover into the venous system was the injection of a too large volume into the ductal system, with subsequent rupture of small side branches. To avoid this rare complication, the filling of the ductal system should be carried out under intraoperative radiological control.
在两例病例中,惠普尔手术后残留胰腺的闭塞与闭塞剂“溢出”至胰腺静脉系统相关,其中一例导致门静脉肝内分支栓塞。两例中,残留胰腺的实质均保存良好。溢出至静脉系统的原因是向导管系统注入了过大体积的物质,随后小侧支破裂。为避免这种罕见并发症,导管系统的充盈应在术中放射学控制下进行。