Journal of Gastrointestinal Surgery

, Volume 23, Issue 1, pp 185–191 | Cite as

Minimally Invasive Debridement for Infected Pancreatic Necrosis

  • Zhi Ven Fong
  • Peter J. FagenholzEmail author
How I do it


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.


Video-assisted retroperitoneal debridement Pancreatic necrosectomy Infected necrotizing pancreatitis 


Author Contributions

Substantial contributions to the conception or design of the work, or the acquisition, analysis, or interpretation of data for the work: ZVF and PJF

Drafting the work or revising it critically for important intellectual content: ZVF and PJF

Final approval of the version to be published: ZVF and PJF

Agreement to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved: ZVF and PJF


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Copyright information

© The Society for Surgery of the Alimentary Tract 2018

Authors and Affiliations

  1. 1.Department of Surgery, Massachusetts General HospitalHarvard Medical SchoolBostonUSA

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