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Updated: Oct 28, 2026

Retroperitoneal Laparoscopic Debridement and Drainage for Pancreatic Abscess
Published on: March 15, 2024
Complications Associated with the Management of Infected Pancreatic Necrosis
Katherine Walsh1, Christina Shields1, Carlos V R Brown2
1Department of Surgery & Perioperative Care, The University of Texas at Austin, University of Texas at Austin Dell Medical School, Austin, TX, USA.
Abstract:
Contemporary management of infected pancreatic necrosis utilizes the "step-up approach," which emphasizes delayed, staged intervention. This strategy contrasts with historical early open surgery and begins with antibiotics and minimally invasive drainage (percutaneous or endoscopic) after necrosis has matured, typically 4 weeks or later after onset. The staged approach minimizes operative trauma, reduces complications and improves outcomes and mortality compared to open necrosectomy. However, these patients are still at risk for significant complications in the perioperative period.
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