Percutaneous pancreatic necrosectomy: a case of difficult pancreatic intubation

A significant percentage of patients with necrotizing pancreatitis will develop an infected pancreatic necrosis that contributes to the morbidity and mortality. Infected pancreatic necrosis requires drainage and debridement. This can be performed percutaneously or surgically. Surgical management may be performed with open or minimally invasive techniques. There has been a trend toward minimally invasive surgical management in recent years. Minimally invasive management requires effective drainage through the use of large-bore drain catheters. We describe a technique that facilitates the insertion of large-bore drainage tubes within the pancreatic collections.