Minimally Invasive Debridement for Infected Pancreatic Necrosis
Zhi Ven Fong1, Peter J Fagenholz2
1Department of Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Abstract:
Necrotizing pancreatitis has historically been treated with open necrosectomy, which carries a high morbidity and mortality rate. More recently, there has been a shift towards endoscopic and percutaneous approaches employed as part of a minimally invasive step-up approach. Herein, we describe the technical approaches to video-assisted retroperitoneal debridement and sinus tract endoscopic debridement of pancreatic necrosis. Additionally, we review important patient selection considerations and the strengths and weaknesses of each of the approaches.
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