Cutolo Carmen, De Muzio Federica, Fusco Roberta, Simonetti Igino, Belli Andrea, Patrone Renato, Grassi Francesca, Dell'Aversana Federica, Pilone Vincenzo, Petrillo Antonella, Izzo Francesco, Granata Vincenza
Department of Medicine, Surgery and Dentistry, University of Salerno, 84084 Fisciano, Italy.
Department of Medicine and Health Sciences V. Tiberio, University of Molise, 86100 Campobasso, Italy.
Diagnostics (Basel). 2022 May 26;12(6):1323. doi: 10.3390/diagnostics12061323.
In the recent years, the number of liver resections has seen an impressive growth. Usually, hepatic resections remain the treatment of various liver diseases, such as malignant tumors, benign tumors, hydatid disease, and abscesses. Despite technical advancements and tremendous experience in the field of liver resection of specialized centers, there are moderately high rates of postoperative morbidity and mortality, especially in high-risk and older patient populations. Although ultrasonography is usually the first-line imaging examination for postoperative complications, Computed Tomography (CT) is the imaging tool of choice in emergency settings due to its capability to assess the whole body in a few seconds and detect all possible complications. Magnetic resonance cholangiopancreatography (MRCP) is the imaging modality of choice for delineating early postoperative bile duct injuries and ischemic cholangitis that may arise in the late postoperative phase. Moreover, both MDCT and MRCP can precisely detect tumor recurrence. Consequently, radiologists should have knowledge of these surgical procedures for better comprehension of postoperative changes and recognition of the radiological features of various postoperative complications.
近年来，肝切除术的数量有了显著增长。通常，肝切除术仍是治疗各种肝脏疾病的方法，如恶性肿瘤、良性肿瘤、包虫病和脓肿。尽管在专业中心的肝切除领域有技术进步和丰富经验，但术后发病率和死亡率仍处于中等偏高水平，尤其是在高危和老年患者群体中。虽然超声检查通常是术后并发症的一线影像学检查，但计算机断层扫描（CT）因其能够在几秒钟内评估全身并检测所有可能的并发症，所以在紧急情况下是首选的成像工具。磁共振胆胰管造影（MRCP）是用于描绘术后早期胆管损伤和术后晚期可能出现的缺血性胆管炎的首选成像方式。此外，多层螺旋CT（MDCT）和MRCP都能精确检测肿瘤复发。因此，放射科医生应该了解这些手术过程，以便更好地理解术后变化并识别各种术后并发症的放射学特征。
