title: Combined minimally invasive management of infected pancreatic necrosis: a case report.
abstract: Infected necrosis is a potentially fatal complication of necrotizing pancreatitis. Open surgical debridement is the mainstay management of infected pancreatic necrosis. Over the last decade minimally invasive techniques have been increasingly used for the treatment of infected pancreatic necrosis and their results are encouraging. However, the optimal technique of minimal access necrosectomy and the timing of intervention have not been established yet. Patients with septic complications of acute pancreatitis represent a challenging group which requires individualized management often involving numerous techniques. We report a case of a 52-year-old patient in whom 3 minimally invasive techniques were needed for complete recovery.
authors.affiliation: Department of General, Gastroenterological and Oncological Surgery, Medical University of Warsaw, Poland.
authors.forename: Lukasz
authors.initials: L
authors.lastname: Wysocki
authors.affiliation: Department of General, Gastroenterological and Oncological Surgery, Medical University of Warsaw, Poland.
authors.forename: Marek
authors.initials: M
authors.lastname: Wroński
authors.affiliation: Department of General, Gastroenterological and Oncological Surgery, Medical University of Warsaw, Poland.
authors.forename: Włodzimierz
authors.initials: W
authors.lastname: Cebulski
authors.affiliation: Department of General, Gastroenterological and Oncological Surgery, Medical University of Warsaw, Poland.
authors.forename: Ireneusz Wojciech
authors.initials: IW
authors.lastname: Krasnodębski
keywords: acute pancreatitis; endoscopic retrograde cholangiopancreatography; infected pancreatic necrosis; laparoscopy; pancreatic necrosectomy
references.citation: Arch Surg. 2010 Sep;145(9):817-25
references.pmid: 20855750
references.citation: Br J Surg. 2000 Nov;87(11):1506-9
references.pmid: 11091237
references.citation: Dig Surg. 2003;20(4):270-7
references.pmid: 12748429
references.citation: N Engl J Med. 2010 Apr 22;362(16):1491-502
references.pmid: 20410514
references.citation: Gut. 2009 Sep;58(9):1260-6
references.pmid: 19282306
references.citation: Surg Laparosc Endosc Percutan Tech. 2012 Feb;22(1):e8-11
references.pmid: 22318082
references.citation: Pancreatology. 2002;2(6):565-73
references.pmid: 12435871
references.citation: J Gastrointest Surg. 2007 Jan;11(1):43-9
references.pmid: 17390185
references.citation: Pancreas. 2005 Apr;30(3):195-9
references.pmid: 15782093
references.citation: Wideochir Inne Tech Maloinwazyjne. 2013 Mar;8(1):29-35
references.pmid: 23630551
references.citation: Surgery. 2005 May;137(5):499-505
references.pmid: 15855920
references.citation: Surgery. 2005 Jul;138(1):28-39
references.pmid: 16003313