| Autor: |
Ryan C, Pickens, Jesse K, Sulzer, Allyson, Cochran, Dionisios, Vrochides, John B, Martinie, Erin H, Baker, Lee M, Ocuin, David A, Iannitti |
| Rok vydání: |
2020 |
| Předmět: |
|
| Zdroj: |
The American surgeon. 85(8) |
| ISSN: |
1555-9823 |
| Popis: |
The role of surgical intervention for necrotizing pancreatitis has evolved; however, no widely accepted algorithm has been established to guide timing and optimal modality in the minimally invasive era. This study aimed to retrospectively validate an established institutional timing- and physiologic-based algorithm constructed from evidence-based guidelines in a high-volume hepatopancreatobiliary center. Patients with necrotizing pancreatitis requiring early (≤six weeks from symptom onset) or delayed (six weeks) surgical intervention were reviewed over a four-year period (n = 100). Early intervention was provided through laparoscopic drain-guided retroperitoneal debridement (n = 15) after failed percutaneous drainage unless they required an emergent laparotomy (due to abdominal compartment syndrome, bowel necrosis/perforation, or hemorrhage) after which conservative, sequential open necrosectomy was performed (n = 47). Robot-assisted (n = 16) |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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