Multidetector CT Evaluation of the Postoperative Pancreas
RadioGraphics 2012; 32:743-764
Fernando I. Yamauchi, MD , Cinthia D. Ortega, MD , Roberto Blasbalg, , MD , Manoel S. Rocha, MD, PhD , Jose Jukemura, MD, PhD, Giovanni G. Cerri, MD, PhD
Several pancreatic diseases may require surgical treatment, with most of these procedures classified as resection or drainage. Resection procedures, which are usually performed to remove pancreatic tumors, include pancreatoduodenectomy, central pancreatectomy, distal pancreatectomy, and total pancreatectomy. Drainage procedures are usually performed to treat chronic pancreatitis after the failure of medical therapy and include the Puestow and Frey procedures. The type of surgery depends not only on the patient's symptoms and the location of the disease, but also on the expertise of the surgeon. Radiologists should become familiar with these surgical procedures to better understand postoperative changes in anatomic findings. Multidetector computed tomography is the modality of choice for identifying normal findings after surgery, postoperative complications, and tumor recur-rence in patients who have undergone pancreatic surgery.