Percutaneous Management of Abscess and Fistula Following Pancreaticoduodenectomy

Abstract

Percutaneous drainage of abscess following pancreaticoduodenectomy is effective in virtually all patients despite the coexistence of enteric and biliary fistulas.

Exporting Excellence for Whipple Resection to Refine the Leapfrog Initiative

“…(The current recommendation has been updated to use a second-generation cephalosporin, pre-incision). There were no cases of pancreatic fistula in the four patients who underwent Whipple resection, a rate consistent with published HVH outcomes [18]. A single case of pancreatic fistula in a patient with autoimmune pancreatitis who underwent trucut biopsy of the head of the pancreas and choledochoduodenostomy for biliary bypass (without pancreatic anastomosis) was managed nonoperatively with percutaneous catheter drainage.…”

Percutaneous Drainage of Postoperative Abdominal Abscess with Limited Accessibility: Preexisting Surgical Drains as Alternative Access Route

“…This concept was also adopted by Zajko et al (8). Despite the obvious potential utility of this approach for postoperative abscesses with problematic locations, to our knowledge only one published study since has documented its use-and that was only as a subgroup in the study without an exclusive analysis (9). For the past 5 years, we have used this alternative access technique to drain postoperative intraabdominal abscesses for which a straightforward percutaneous access appeared to be difficult or impossible.…”

Image-guided percutaneous treatment of abdominal-pelvic abscesses: a 5-year experience

“…Le prime esperienze inerenti il drenaggio percutaneo delle raccolte intra-addominali iniziarono attorno alla fine degli anni '70, quando Gerzof et al riportarono una percentuale di successo del 86% in 67 pazienti sottoposti a tale procedura [7]. Negli anni successivi altre esperienze hanno dimostrato e confermato l'efficacia di questa procedura con tassi di successo compresi tra 70%-100% [3,5,[8][9][10][11][12][13][14][15][16][17][18][19].…”