title: [Debridement and drainage of infected necrosis for severe acute pancreatitis via lumbo-retroperitoneal route].
abstract: OBJECTIVE
  To determine the route and ways of debridement and drainage of infected necrosis for severe acute pancreatitis (SAP) combined with pancreatic infection.
  
  
  METHODS
  Clinical data of 28 patients with SAP accompanied with secondary pancreatic infection, who underwent lumbo-retroperitoneal debridement, drainage and lavage after the operation were retrospectively investigated.
  
  
  RESULTS
  Four patients underwent one operation, 21 underwent 2 operations, and 3 underwent 3 operations. All patients recovered or improved and were discharged by postoperative lavage. Four patients had complications, including 1 gastrointestinal bleeding,1 intestinal fistula and 2 pancreatic fistula.
  
  
  CONCLUSIONS
  Debridement and drainage of infected necrosis for SAP combined with pancreatic infection via lumbo-retroperitoneal route is direct, safe and effective.
authors.affiliation: Department of General Surgery, Xiangya Hospital, Central South University, Changsha 410008, China. prohgh@21cn.com
authors.forename: Guo-Huang
authors.initials: GH
authors.lastname: Hu
authors.forename: Wei-Jia
authors.initials: WJ
authors.lastname: Sun
authors.forename: Lian
authors.initials: L
authors.lastname: Duan
mesh_terms: D000328:Adult; D000368:Aged; D003646:Debridement; D013505:Digestive System Surgical Procedures / Q000379:methods*; D004322:Drainage; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D019283:Pancreatitis, Acute Necrotizing / Q000601:surgery*; D012187:Retroperitoneal Space / Q000601:surgery*