Role of minimal access retroperitoneal pancreatic necrosectomy in the treatment of infected pancreatic necrosis：An analysis of 18 cases
Abstract：Objective To summarize the role of minimal access retroperitoneal pancreatic necrosectomy (MARPN)in the treatment of infected pancreatic necrosis (IPN). Methods The clinical data of 18 cases of IPN performed MARPN in Xiangya Hospital,Central South University between September 2013 and July 2016 were analyzed retrospectively. All the cases included 15 cases treated with percutaneous catheter drainage plus MARPN and 3 cases with open drainage plus MARPN. Results The culture of peripancreatic drainage in all the 18 cases showed multiple microorganisms. The sepsis was completely reversed through MARPN in 15 cases(83.3%) and only 1 case converted to open surgical necrosectomy because of bleeding and intestinal leakage. The postoperative morbidity included 7 cases (38.9%) of pancreatic leakage,5 cases (27.8%) of intestinal leakage and 2 cases (11.1%) of bleeding. The overall mortality rate was 16.7%(3/18) and the underlying reasons for the mortality included bleeding and intestinal leakage,which led to multiple organ dysfunction syndrome. Conclusion Step-up or step-down approach based on MARPN is an effective strategy to treat infected pancreatic necrosis.
Keywords：severe acute pancreatitisinfected pancreatic necrosisminimal access retroperitoneal pancreatic necrosectomy
Publication Date：2016-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 1197-1199 )