naa a22 4500 510747566 CHVBK 20180411083052.0 cr unu---uuuuu 180411e20130401xx s 000 0 eng 10.1007/s11547-012-0863-1 doi (NATIONALLICENCE)springer-10.1007/s11547-012-0863-1 Interventional radiology in the treatment of early postoperative biliary complications [Elektronische Daten] [P. Fonio, M. Cassinis, A. Rapellino, D. Righi, G. Gandini] La radiologia interventistica nel trattamento delle complicanze precoci delle vie biliari Purpose: We sought to evaluate the feasibility and efficacy of percutaneous treatment of early postoperative biliary complications. The primary aims were to evaluate clinical and technical success and complications and perioperative mortality, and secondary aims were to evaluate treatment duration and recurrence rate. Materials and methods: Between March 2007 and March 2010, 75 patients (42 men and 33 women; age range, 17-88 years; mean age, 60.8 years) underwent interventional radiology procedures to treat early postoperative biliary complications of biliary and pancreatic-duodenal surgery with biliodigestive anastomosis (37.7%), laparoscopic cholecystectomy (30.6%), hepatic resection (21.1%) and several other surgical procedures (10.6%). Complications included fistulas (73%), stenoses (20%) and complete bile duct transections (7%). Results: Interventional radiology achieved complete clinical success in 74 cases (85.9%) and in particular in 95.2% of fistulas, 76.5% of stenoses and 33.3% of complete bile duct transections. Mean indwelling catheter time was 34.9 days, with an average of 4.1 procedures. There were two cases of severe haemobilia (2.3%). Minor complications occurred in 7% of cases. Perioperative mortality rate was 1.2% and overall recurrence rate 6.7% (range, 1-18 months; mean, 10 months), with recurrences occurring predominantly in stenoses. All patients were retreated successfully. Conclusions: Percutaneous procedures are feasible, effective and safe for treating early postoperative biliary complications. They provide a valuable alternative to presendoscopy, which is precluded in many of these patients, and to surgery, which has higher morbidity and mortality rates. Springer-Verlag Italia, 2012 Interventional radiology nationallicence Biliary tract diseases nationallicence Postoperative complications nationallicence Radiologia interventistica nationallicence Patologie delle vie biliari nationallicence Complicanze post operatorie nationallicence Fonio P. Istituto di Radiologia, Università degli Studi di Torino, Ospedale S Giovanni Battista di Torino, Via Genova 3, 10126, Torino, Italy aut Cassinis M. Istituto di Radiologia, Università degli Studi di Torino, Ospedale S Giovanni Battista di Torino, Via Genova 3, 10126, Torino, Italy aut Rapellino A. Istituto di Radiologia, Università degli Studi di Torino, Ospedale S Giovanni Battista di Torino, Via Genova 3, 10126, Torino, Italy aut Righi D. Istituto di Radiologia, Università degli Studi di Torino, Ospedale S Giovanni Battista di Torino, Via Genova 3, 10126, Torino, Italy aut Gandini G. Istituto di Radiologia, Università degli Studi di Torino, Ospedale S Giovanni Battista di Torino, Via Genova 3, 10126, Torino, Italy aut La radiologia medica Springer Milan 118/3(2013-04-01), 386-400 0033-8362 118:3<386 2013 118 11547 https://doi.org/10.1007/s11547-012-0863-1 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s11547-012-0863-1 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Fonio P. Istituto di Radiologia, Università degli Studi di Torino, Ospedale S Giovanni Battista di Torino, Via Genova 3, 10126, Torino, Italy aut NATIONALLICENCE 700 1- Cassinis M. Istituto di Radiologia, Università degli Studi di Torino, Ospedale S Giovanni Battista di Torino, Via Genova 3, 10126, Torino, Italy aut NATIONALLICENCE 700 1- Rapellino A. Istituto di Radiologia, Università degli Studi di Torino, Ospedale S Giovanni Battista di Torino, Via Genova 3, 10126, Torino, Italy aut NATIONALLICENCE 700 1- Righi D. Istituto di Radiologia, Università degli Studi di Torino, Ospedale S Giovanni Battista di Torino, Via Genova 3, 10126, Torino, Italy aut NATIONALLICENCE 700 1- Gandini G. Istituto di Radiologia, Università degli Studi di Torino, Ospedale S Giovanni Battista di Torino, Via Genova 3, 10126, Torino, Italy aut NATIONALLICENCE 773 0- La radiologia medica Springer Milan 118/3(2013-04-01), 386-400 0033-8362 118:3<386 2013 118 11547 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer