title: [The treatment of walled-off pancreatic necrosis. Review].
abstract: Walled-off pancreatic necrosis is a late complication of severe acute pancreatitis that generally needs some interventions. The aim of this review is to analyse the indications, technical aspects and limits of these therapeutic options. The development of the walled-off pancreatic necrosis needs 4-6 weeks from the onset of the disease. The necrosectomy is recommended after this time. Endoscopic necrosectomy offers good results if the necrosis is in retrogastric or retroduodenal localisations. Open necrosectomy can be performed through the gastrocolic ligament or the mesocolon. It is suggested to complete necrosectomy with open or closed omental bursa drainage or packing. The transgastric necrosectomy does not need external drainage. Surgical procedures can be performed with laparoscopy either. In localized necrosis other minimal invasive approaches can be used.
  
  
  CONCLUSIONS
  In addition to the transluminal endoscopic or minimal invasive necrosectomies different types of surgical procedures has an important role in the treatment of walled-off pancreatic necrosis. Orv. Hetil., 2016, 157(47), 1866-1870.
authors.affiliation: Klinikai Központ, Sebészeti Intézet, Debreceni Egyetem, Általános Orvostudományi Kar Debrecen, Móricz Zs. krt. 22., 4032.
authors.forename: Zsolt
authors.initials: Z
authors.lastname: Szentkereszty
authors.affiliation: Klinikai Központ, Sebészeti Intézet, Debreceni Egyetem, Általános Orvostudományi Kar Debrecen, Móricz Zs. krt. 22., 4032.
authors.forename: Klaudia
authors.initials: K
authors.lastname: Balog
authors.affiliation: Debreceni Egyetem, Általános Orvostudományi Kar Debrecen.
authors.forename: Lídia
authors.initials: L
authors.lastname: Balázs
authors.affiliation: Klinikai Központ, Sebészeti Intézet, Debreceni Egyetem, Általános Orvostudományi Kar Debrecen, Móricz Zs. krt. 22., 4032.
authors.forename: Adrien
authors.initials: A
authors.lastname: Csiszkó
mesh_terms: D004322:Drainage / Q000379:methods*; D004724:Endoscopy; D006801:Humans; D019060:Minimally Invasive Surgical Procedures / Q000379:methods; D010179:Pancreas / Q000473:pathology*; D019283:Pancreatitis, Acute Necrotizing / Q000000981:diagnostic imaging / Q000628:therapy*; D011859:Radiography; D007507:Therapeutic Irrigation / Q000379:methods*; D016896:Treatment Outcome
keywords: demarkált necrosis; endoluminal endoscopic necrectomy; endoluminalis endoszkópos necrectomia; sebészet; surgical treatment; walled-off pancreatic necrosis