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Whipple术后CT的系统评估方法:临床病例与问题解决策略

Systematic approach to the post-Whipple CT: clinical cases and problem-solving strategies.

作者信息

Colak Ceylan, Parvinian Ahmad, Mugu Vamshi, Horst Kelly, Hibbert Rebecca, Boyum James, Wald Christoph, Chan Alex

机构信息

Department of Radiology, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA.

出版信息

Emerg Radiol. 2025 Sep 8. doi: 10.1007/s10140-025-02379-6.

Abstract

Pancreaticoduodenectomy, also known as the classic Whipple procedure, is the most common surgical treatment for pancreatic adenocarcinoma. Postoperative complications are common and occur in approximately 50% of patients. Prompt detection and management of these complications is vital for improving patient outcomes. As such, radiologists must be familiar with the expected postoperative anatomy in these patients and adept at leveraging optimal imaging techniques to detect complications. This pictorial essay will provide radiologists in all practice settings a systematic approach in the evaluation of the post-pancreaticoduodenectomy CT.

摘要

胰十二指肠切除术,也称为经典的惠普尔手术,是胰腺癌最常见的外科治疗方法。术后并发症很常见,约50%的患者会出现。及时发现和处理这些并发症对于改善患者预后至关重要。因此,放射科医生必须熟悉这些患者术后的预期解剖结构,并善于利用最佳成像技术来检测并发症。这篇图文并茂的文章将为所有医疗机构的放射科医生提供一种评估胰十二指肠切除术后CT的系统方法。

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