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A surgical treatment of infected pancreatic necrosis: retroperitoneal laparotomy
H Nakasaki1, T Tajima, K Fujii
1Department of Surgery, Tokai University, Oiso Hospital, Kanagawa, Japan.
Background/Aims:
Due to the anatomical location of the pancreas, sufficient drainage of a pancreatic necrosis by laparotomy may be unsatisfactory.
Methods:
CT and helical CT have provided extremely useful information on the surgical treatment of necrotic pancreatitis. The retroperitoneal approach (RPA) allows direct and complete removal of necrotic tissues.
Results:
RPA was used to treat 8 patients with infected pancreatic necrosis. Excision of necrotic tissues was effective and could minimize the complications often associated with laparotomy such as bleeding and intestinal injuries.
Conclusion:
By CT and helical CT, three-dimensional images of pancreatic necrosis are obtained. These investigations have greatly facilitated RPA, which has advantages over laparotomy in the treatment of infected pancreatic necrosis.