Minimally Invasive Retroperitoneal Pancreatic Necrosectomy in the Management of Infected Pancreatitis
| Autor: | Radhika Lakshmanan, Shridhar Ganpathi Iyer, Krishnakumar Madhavan, Victor T. W. Lee, Stephen Chang |
|---|---|
| Rok vydání: | 2010 |
| Předmět: |
Adult
Male medicine.medical_specialty Pancreatic necrosectomy Intensive care monitoring Humans Minimally Invasive Surgical Procedures Medicine Retroperitoneal Space Pancreas Aged Pancreatic duct Pancreatitis Acute Necrotizing business.industry Medical record Surgical debridement Peripancreatic necrosis Length of Stay Middle Aged medicine.disease Surgery medicine.anatomical_structure Debridement Pancreatic fistula Pancreatitis Female business |
| Zdroj: | Surgical Laparoscopy, Endoscopy & Percutaneous Techniques. 20:e11-e15 |
| ISSN: | 1530-4515 |
| Popis: | Introduction Surgical debridement is the mainstay in the management of infected pancreatic necrosis. Minimally invasive techniques have been shown to minimize surgical insult. We aim to review our recent experience with minimally invasive retroperitoneal pancreatic necrosectomy (MIRP). Methods The medical records of consecutive patients between October 2007 and April 2008 who underwent MIRP at our hospital were reviewed. All the patients had a preoperative computed tomography-guided aspiration and positive bacteriologic culture of the peripancreatic collection. Results Five patients underwent MIRP during the 8-month period. Fourteen procedures were carried out, with a median of 3 (range, 1 to 5) procedures per patient. Only 1 patient required postoperative intensive care monitoring. One patient had a left renal contusion that resolved, and 2 patients developed pancreatic fistula owing to pancreatic duct disruption requiring stenting of the pancreatic duct. There were no mortalities. Conclusion MIRP is a good alternative technique in the management of selected patients with infected peripancreatic necrosis. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|