[Re-exploration of minimally invasive surgery for infected pancreatic necrosis]

Area of Science:

• Surgical Gastroenterology
• Minimally Invasive Surgery
• Pancreatic Diseases

Background:

• Infected pancreatic necrosis treatment is evolving, with ongoing debate surrounding minimally invasive techniques.
• Minimally invasive surgery (MIS) aims to reduce abdominal trauma and improve post-operative recovery.
• Challenges remain in optimizing timing, technique, and management for MIS in infected pancreatic necrosis.

Purpose of the Study:

• To discuss the advantages, optimal timing, and combined application of multi-video-assisted debridement in MIS for infected pancreatic necrosis.
• To explore post-operative management strategies for MIS in this patient population.
• To provide new insights into video-assisted debridement for complex infected pancreatic necrosis cases.

Main Methods:

• Review and discussion of minimally invasive surgical approaches for infected pancreatic necrosis.
• Analysis of the benefits of 'no intervention for normal abdominal space' principle in MIS.
• Evaluation of early percutaneous drainage (PCD) and one-step laparoscopic debridement outcomes.

Main Results:

• MIS significantly reduces injury and complications, promoting faster intestinal function recovery.
• Both early PCD and one-step minimally invasive laparoscopic debridement have shown positive results.
• Combining multi-video-assisted techniques improves debridement efficiency and shortens operation time in complex cases.

Conclusions:

• Minimally invasive surgery, particularly with combined multi-video-assisted techniques, presents a promising approach for infected pancreatic necrosis.
• Standardized, thorough debridement and drainage are crucial for effective post-operative management.
• Further research is needed to scientifically and reasonably apply MIS for infected pancreatic necrosis.