Minimally Invasive Debridement for Infected Pancreatic Necrosis
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.
KeywordsVideo-assisted retroperitoneal debridement Pancreatic necrosectomy Infected necrotizing pancreatitis
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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