Classical, minimally invasive necrosectomy or percutaneous drainage in acute necrotizing pancreatitis. Does changing the order of the factors change the result?
نویسنده
چکیده
منابع مشابه
A step-up approach or open necrosectomy for necrotizing pancreatitis.
BACKGROUND Necrotizing pancreatitis with infected necrotic tissue is associated with a high rate of complications and death. Standard treatment is open necrosectomy. The outcome may be improved by a minimally invasive step-up approach. METHODS In this multicenter study, we randomly assigned 88 patients with necrotizing pancreatitis and suspected or confirmed infected necrotic tissue to underg...
متن کاملMinimally invasive retroperitoneal necrosectomy in management of acute necrotizing pancreatitis
INTRODUCTION One of the most important requirements in treatment of acute necrotizing pancreatitis is minimized invasion. AIM We are presenting experience in treatment of acute necrotizing pancreatitis by an original minimally invasive retroperitoneal necrosectomy technique, comparing our results to other studies, evaluating feasibility and safety, discussing advantages and disadvantages of t...
متن کاملMinimally invasive retroperitoneal pancreatic necrosectomy in necrotising pancreatitis.
With the marriage of surgery and technology, applications of minimal access surgery are increasing exponentially. Pancreatic diseases are no exception. Minimally invasive retroperitoneal pancreatic necrosectomy (MIRP), or percutaneous video-assisted necrosectomy, is a new technique to debride the necrotic pancreas. We report a 51- year-old male patient who successfully underwent MIRP for infect...
متن کاملUltrasound-assisted focused open necrosectomy in the treatment of necrotizing pancreatitis.
CONTEXT The surgical treatment of necrotizing pancreatitis includes percutaneous drainage of acute necrotic collections and sequestrectomy in the late phase of the disease. OBJECTIVE The aim of the study was to compare the conventional open necrosectomy (CON) approach with the alternative focused open necrosectomy (FON) approach in patients with infected necrosis and progression of sepsis. ...
متن کاملHow do we apply video-assisted retroperitoneal necrosectomy with minimal access?
BACKGROUND The conservative treatment of acute necrotizing pancreatitis has greatly improved due to broad antibiotic treatment and improved organ support in intensive care units. Nevertheless, infected necrosis or persistent multi-organ dysfunction are predictors of poor outcome. In these patients, there is still a need to perform necrosectomy. Open surgery results in extensive operative trauma...
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ورودعنوان ژورنال:
- JOP : Journal of the pancreas
دوره 11 4 شماره
صفحات -
تاریخ انتشار 2010