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J Gastrointest Surg. 2019 Jan;23(1):185-191. doi: 10.1007/s11605-018-3908-5. Epub 2018 Aug 10.

Minimally Invasive Debridement for Infected Pancreatic Necrosis.

Author information

1
Department of Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
2
Department of Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA. pfagenholz@mgh.harvard.edu.

Abstract

Necrotizing pancreatitis has historically been treated with open necrosectomy, which carries a high morbidity and mortality rate. More recently, there has been a shift towards endoscopic and percutaneous approaches employed as part of a minimally invasive step-up approach. Herein, we describe the technical approaches to video-assisted retroperitoneal debridement and sinus tract endoscopic debridement of pancreatic necrosis. Additionally, we review important patient selection considerations and the strengths and weaknesses of each of the approaches.

KEYWORDS:

Infected necrotizing pancreatitis; Pancreatic necrosectomy; Video-assisted retroperitoneal debridement

PMID:
30097963
DOI:
10.1007/s11605-018-3908-5

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