Infected pancreatic necrosis: translumbar approach and management with retroperitoneoscopy.
OBJECTIVE
The extraperitoneal translumbar approach and retroperitoneoscopy are useful in the treatment and follow-up of patients with infected pancreatic necrosis.


METHODS
Descriptive study.


METHODS
University hospital.


METHODS
Fifteen consecutive patients with infected and drained pancreatic necrosis.


METHODS
Extraperitoneal translumbar approach to drain and retroperitoneoscopy as a method to propose evolutive control.


METHODS
Morbidity and mortality.


RESULTS
Four (27%) of 15 patients died, and 3 (20%) of 15 patients experienced complications during hospital admission.


CONCLUSIONS
The retroperitoneal access to infected pancreatic necrosis has low rates of mortality and morbidity and a low percentage of repeated surgeries, and retroperitoneoscopy facilitates evolutive control of treated infected pancreatic necrosis.
Castellanos
Gregorio
G
Servicio de Cirugía General, Hospital Universitario Virgen de la Arrixaca 3rd Planta, 30120 El Palmar, Murcia, España. GRECASE@ono.es
Piñero
Antonio
A
Serrano
Andrés
A
Parrilla
Pascual
P
D000208:Acute Disease; D004724:Endoscopy; D005260:Female; D006801:Humans; D007902:Length of Stay / Q000706:statistics & numerical data; D008297:Male; D008875:Middle Aged; D009336:Necrosis; D010179:Pancreas / Q000601:surgery; D010195:Pancreatitis / Q000382:microbiology* / Q000473:pathology / Q000601:surgery; D012187:Retroperitoneal Space