[COMBINED LAPAROSCOPICALLY AND RETROPERITONEOSCOPICALLY ASSISTED PANCREATONECRSEQUESTRECTOMY].

Area of Science:

• Gastroenterology and Surgical Innovation
• Minimally Invasive Surgery Techniques
• Pancreatic Necrosis Management

Background:

• Acute pancreatitis, particularly necrotizing pancreatitis, presents significant surgical challenges.
• Traditional open necrosectomy carries risks of high morbidity and mortality.
• The need for improved, less invasive surgical options is critical.

Observation:

• A novel combined method utilizing laparoscopic and retroperitoneoscopic approaches for necrosectomy was developed.
• This technique involves staged application of minimally invasive methods with simultaneous dual-scope control.
• The procedure aims to enhance the surgical treatment of acute pancreatitis.

Findings:

• The combined approach offers significant advantages over open surgery for purulent pancreatitis complications.
• Key benefits include reduced treatment severity, minimized microbial metabolite entry into the bloodstream, and comprehensive visual control.
• It also reduces vascular injury risk, ensures adequate sanation while preserving viable pancreatic tissue, and prevents purulent complications during wound healing.

Implications:

• This minimally invasive strategy represents a significant advancement in managing necrotizing pancreatitis.
• It offers a safer and more effective alternative to open surgery, improving patient recovery.
• The technique facilitates adequate drainage and minimizes the occurrence of postoperative infectious complications.