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췌십이지장절제술 후 발생한 간 외분절의 의인성 손상

Other Titles
 Iatrogenic Injury in the Lateral Segment of the Liver after Pancreatoduodenectomy: Early Follow-Up CT Features and Clinical Implications 
 김예나  ;  유정식  ;  김기황  ;  안지현  ;  조은석  ;  김주희  ;  정재준 
 Journal of the Korean Society for Environmental Analysis (한국환경분석학회지), Vol.66(5) : 451-457, 2012 
Journal Title
 Journal of the Korean Society for Environmental Analysis  (한국환경분석학회지) 
Issue Date
Purpose: To investigate the incidence, predisposing factors and image features of iatrogenically-induced focal parenchymal changes in the lateral segment of the liver after a pancreatoduodenectomy. Materials and Methods: A follow-up CT taken on the seventh day after an uneventful pancreatoduodenectomy were retrospectively reviewed for 123 patients for newly developed focal hepatic lesions. The location, size, and shape of the lesions were analyzed along with preoperative anatomic variation of the hepatic artery, for the degree of intrahepatic bile duct dilatation and procedure duration. Results: Other than two patients with hepatic metastases, 13 (10.6%) patients showed newly developed irregular (n = 9), linear (n = 2) or wedge-like (n = 2) hypovascular areas (1.4-8.5 cm; mean, 2.8 cm) in the posterior subcapsular portion of the lateral segment. There were only two patients (15.4%) with an aberrant origin of the segmental hepatic artery from the left gastric artery, and the degree of bile duct dilatation was nonspecific for the 13 subjected patients. Mean procedure time was not significantly different between the subjected patients and the others (541 min vs. 507 min; p = 0.160). Conclusion: Focal iatrogenic injury in the lateral segment after a pancreatoduodenectomy would not be a common event regardless of preoperative vascular anatomic variation, bile duct dilatation, or procedure duration.
Appears in Collections:
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실)
Yonsei Authors
김기황(Kim, Ki Whang) ; 김예나(Kim, Yae Na) ; 김주희(Kim, Joo Hee) ; 안지현(Ahn, Jhii Hyun) ; 유정식(Yu, Jeong Sik) ; 정재준(Chung, Jae Joon) ; 조은석(Cho, Eun Suk)
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