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Infected pancreatic necrosis: translumbar approach and management with retroperitoneoscopy
Gregorio Castellanos1, Antonio Piñero, Andrés Serrano
1Servicio de Cirugía General, Hospital Universitario Virgen de la Arrixaca 3rd Planta, 30120 El Palmar, Murcia, España. GRECASE@ono.es
Hypothesis:
The extraperitoneal translumbar approach and retroperitoneoscopy are useful in the treatment and follow-up of patients with infected pancreatic necrosis.
Design:
Descriptive study.
Setting:
University hospital.
Patients:
Fifteen consecutive patients with infected and drained pancreatic necrosis.
Interventions:
Extraperitoneal translumbar approach to drain and retroperitoneoscopy as a method to propose evolutive control.
Main Outcome Measures:
Morbidity and mortality.
Results:
Four (27%) of 15 patients died, and 3 (20%) of 15 patients experienced complications during hospital admission.
Conclusions:
The retroperitoneal access to infected pancreatic necrosis has low rates of mortality and morbidity and a low percentage of repeated surgeries, and retroperitoneoscopy facilitates evolutive control of treated infected pancreatic necrosis.