Multidetector CT imaging of complications after laparoscopic nephron-sparing surgery
Conclusions
Multidetector CT allows precise assessment of the surgical resection site; detection of pneumoperitoneum and subcutaneous emphysema; quantification of retroperitoneal blood; and identification of active bleeding, pseudoaneurysms, arterio-venous fistulas, abscess collections and extravasated urine.
Teaching Points
• Laparoscopic nephron-sparing surgery (NSS) is increasingly performed to treat renal lesions.
• Radiologists are increasingly requested to investigate suspected post-surgical NSS complications.
• Post-NSS complications include haemorrhage, haematuria, vascular injuries, infections and urinary leaks.
• Multidetector CT allows choice between conservative treatment, transarterial embolisation or surgery.
Source: Insights into Imaging - Category: Radiology Source Type: research
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