Laparoscopic Treatment of Acute Necrotizing Pancreatitis.
Laparoscopic debridement and necrosectomy are described for the treatment for acute necrotizing pancreatitis. Three techniques are described: (1) retrogastric retrocolic debridement; (2) a full retroperitoneoscopic approach; and (3) a transgastric drainage. These three techniques were performed for necrotizing pancreatitis in a group of patients from 1993 to 1994. These techniques have resulted in 75% success of drainage and debridement of necrotizing pancreatitis. No mortalities were encountered during this time period, and reintervention was necessary in 25% of patients. Apart from a cosmetic advantage, less stress has resulted from the procedure, therefore promoting earlier recovery with potentially less fistula complications, which are often observed after open drainage.
Department of General Surgery, The Cleveland Clinic Foundation, Cleveland, OH, USA
M
Gagner