title: Infected pancreatic necrosis: translumbar approach and management with retroperitoneoscopy.
abstract: 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.
authors.affiliation: Servicio de Cirugía General, Hospital Universitario Virgen de la Arrixaca 3rd Planta, 30120 El Palmar, Murcia, España. GRECASE@ono.es
authors.forename: Gregorio
authors.initials: G
authors.lastname: Castellanos
authors.forename: Antonio
authors.initials: A
authors.lastname: Piñero
authors.forename: Andrés
authors.initials: A
authors.lastname: Serrano
authors.forename: Pascual
authors.initials: P
authors.lastname: Parrilla
mesh_terms: 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