Infected Pancreatic Necrosis
Translumbar Approach and Management With Retroperitoneoscopy
Gregorio Castellanos, MD, PhD;
Antonio Piñero, MD, PhD;
Andrés Serrano, MD;
Pascual Parrilla, MD, PhD
Arch Surg. 2002;137:1060-1063.
Hypothesis The extraperitoneal translumbar approach and retroperitoneoscopy are useful in the treatment and follow-up of patients with infected pancreatic necrosis.
Design Descriptive study.
Setting University hospital.
Patients Fifteen consecutive patients with infected and drained pancreatic necrosis.
Interventions Extraperitoneal translumbar approach to drain and retroperitoneoscopy as a method to propose evolutive control.
Main Outcome Measures 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.
From the Department of General Surgery (Drs Castellanos, Piñero, and Parrilla) and the Endoscopy Unit (Dr Serrano), "Virgen de la Arrixaca" University Hospital, Murcia, Spain.
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