Simultaneous endoscopic and video-assisted retroperitoneal debridement in walled-off pancreatic necrosis using a laparoscopic access platform: Two case reports.
Acute necrotizing pancreatitis
Case report
Minimally invasive surgical procedures
Multiple organ failure
Natural orifice transluminal endoscopy
Sepsis
Walled-off necroses
Journal
World journal of gastroenterology
ISSN: 2219-2840
Titre abrégé: World J Gastroenterol
Pays: United States
ID NLM: 100883448
Informations de publication
Date de publication:
07 Feb 2022
07 Feb 2022
Historique:
received:
04
03
2021
revised:
03
05
2021
accepted:
28
12
2021
entrez:
23
3
2022
pubmed:
24
3
2022
medline:
25
3
2022
Statut:
ppublish
Résumé
Infected walled-off necrosis is a potentially life-threatening complication of necrotizing pancreatitis. While some patients can be treated by drainage alone, many patients also need evacuation of the infected debris. Central necroses in relation to the pancreatic bed are easily reached Transluminal and percutaneous drainage followed by simultaneous endoscopic and modified video-assisted retroperitoneal debridement was carried out in two patients with very large (32-38 cm), infected walled-off necroses using a laparoscopic access platform. After 34 d and 86 d and a total of 9 and 14 procedures, respectively, complete regression of the walled-off necroses was achieved. The laparoscopic access platform improved both access to the cavities as well as the overview. Simultaneous transluminal and percutaneous necrosectomy are feasible with the laparoscopic access platform serving as a useful adjunctive. This approach may be necessary to control infection and achieve regression in some patients with complex collections.
Sections du résumé
BACKGROUND
BACKGROUND
Infected walled-off necrosis is a potentially life-threatening complication of necrotizing pancreatitis. While some patients can be treated by drainage alone, many patients also need evacuation of the infected debris. Central necroses in relation to the pancreatic bed are easily reached
CASE SUMMARY
METHODS
Transluminal and percutaneous drainage followed by simultaneous endoscopic and modified video-assisted retroperitoneal debridement was carried out in two patients with very large (32-38 cm), infected walled-off necroses using a laparoscopic access platform. After 34 d and 86 d and a total of 9 and 14 procedures, respectively, complete regression of the walled-off necroses was achieved. The laparoscopic access platform improved both access to the cavities as well as the overview. Simultaneous transluminal and percutaneous necrosectomy are feasible with the laparoscopic access platform serving as a useful adjunctive.
CONCLUSION
CONCLUSIONS
This approach may be necessary to control infection and achieve regression in some patients with complex collections.
Identifiants
pubmed: 35316956
doi: 10.3748/wjg.v28.i5.588
pmc: PMC8905021
doi:
Types de publication
Case Reports
Langues
eng
Sous-ensembles de citation
IM
Pagination
588-593Informations de copyright
©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
Déclaration de conflit d'intérêts
Conflict-of-interest statement: We declare no conflict of interests.
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