PL EN


Preferences help
enabled [disable] Abstract
Number of results
Journal
2014 | 9 | 4 | 580-587
Article title

Minimally invasive techniques in the treatment of severe acute pancreatitis

Content
Title variants
Languages of publication
EN
Abstracts
EN
Open necrosectomy, the standard surgical treatment of infected pancreatic necrosis (IPN), presents a high rate of postoperative complications and an associated mortality of 20–60%. In the last decade various minimally invasive approaches (MIA) have been proposed for the treatment of IPN and the results seem to improve on those reported with open necrosectomy. These MIA include: percutaneous, retroperitoneal, endoscopic (endoluminal) and laparoscopic (transperitoneal). The adoption of the step-up approach in the management of severe acute pancreatitis (SAP) facilitates the implementation of MIA as the surgical treatment of choice in most cases. Since MIA require the expertise of radiologists, endoscopists and surgeons, patients suffering SAP should be treated by multidisciplinary teams in referral centers. We describe the MIA currently available and discuss their advantages, disadvantages, and results.
Publisher

Journal
Year
Volume
9
Issue
4
Pages
580-587
Physical description
Dates
published
1 - 8 - 2014
online
19 - 7 - 2014
Contributors
author
  • Unit of Hepato-Biliary-Pancreatic Surgery, Service of General and Digestive Surgery, Hospital Universitari del Mar, Universitat Autònoma de Barcelona, Barcelona, Spain, ipoves@parcdesalutmar.cat
  • Unit of Hepato-Biliary-Pancreatic Surgery, Service of General and Digestive Surgery, Hospital Universitari del Mar, Universitat Autònoma de Barcelona, Barcelona, Spain
  • Unit of Hepato-Biliary-Pancreatic Surgery, Service of General and Digestive Surgery, Hospital Universitari del Mar, Universitat Autònoma de Barcelona, Barcelona, Spain
author
  • Unit of Hepato-Biliary-Pancreatic Surgery, Service of General and Digestive Surgery, Hospital Universitari del Mar, Universitat Autònoma de Barcelona, Barcelona, Spain
References
  • [1] Uhl W, Warshaw A, Imrie C, Bassi C, McKay CJ, Lankisch PG et al. IAP Guidelines for the surgical management of acute pancreatitis. Pancreatology 2002; 2: 565–573 http://dx.doi.org/10.1159/000067684[Crossref]
  • [2] Lee JK, Kwak KK, Park JK, Yoon WJ, Lee SH, Ryu JK et al. The efficacy of nonsurgical treatment of infected pancreatic necrosis. Pancreas 2007; 34: 399–404 http://dx.doi.org/10.1097/MPA.0b013e318043c0b1[Crossref]
  • [3] Wada K, Takada T, Hirata K, Mayumi T, Yoshida M, Yokoe M et al. Treatment strategy for acute pancreatitis. J Hepatobiliary Pancreat Sci. 2010; 17: 79–86 http://dx.doi.org/10.1007/s00534-009-0218-z[Crossref]
  • [4] Poves I, Fabregat J, Biondo S, Jorba R, Borobia FG, Llado L et al. Results of treatment in severe acute pancreatitis. Rev Esp Enferm Dig 2000; 92: 586–594
  • [5] Bausch D, Wellner U, Kahl S, Kuesters S, Richter-Schrag HJ, Utzolino S, Hopt UT, Keck T, Fischer A. Minimally invasive operations for acute necrotizing pancreatitis: comparison of minimally invasive retroperitoneal necrosectomy with endoscopic transgastric necrosectomy. Surgery 2012; 152: S128–134 http://dx.doi.org/10.1016/j.surg.2012.05.021[WoS][Crossref]
  • [6] Mier J, León EL, Castillo A, Robledo F, Blanco R. Early versus late necrosectomy in severe necrotizing pancreatitis. Am J Surg 1997; 173: 71–75 http://dx.doi.org/10.1016/S0002-9610(96)00425-4[Crossref]
  • [7] Besselink MG, de Brujin MT, Rutten JP, Boermeester MA, Hofker HS, Gooszen HG. Surgical intervention in patients with necotizing pancreatitis. Br J Surg 2006; 93: 593–599 http://dx.doi.org/10.1002/bjs.5287[Crossref]
  • [8] Poves Prim I, Fabregat Prous J, García Borobia FJ, Jorba Martí R, Figueras Felip J, Jaurrieta Mas E. Early onset of organ failure is the best predictor of mortality in acute pancreatitis. Rev Esp Enferm Dig 2004; 96: 705–713 http://dx.doi.org/10.4321/S1130-01082004001000005[Crossref]
  • [9] Besselink MG, Verwer TJ, Schoenmaeckers EJ, Buskens E, Ridwan BU, Visser MR et al. Timing of surgical intervention in necrotizing pancreatitis. Arch Surg 2007; 142: 1194–1201 http://dx.doi.org/10.1001/archsurg.142.12.1194[Crossref][WoS]
  • [10] Gloor B, Müller CA, Worni M, Martignoni ME, Uhl W, Büchler MW. Late mortality in patients with severe acute pancreatitis. Br J Surg 2001; 88: 975–979 http://dx.doi.org/10.1046/j.0007-1323.2001.01813.x[Crossref]
  • [11] van Santvoort HC, Besselink MG, Bakker OJ, Hofker HS, Boermeester MA, Dejong CH. A step-up approach or open necrosectomy for necrotizing pancreatitis. N Eng J Med 2010; 362: 1491–1502 http://dx.doi.org/10.1056/NEJMoa0908821[Crossref]
  • [12] Freeny PC, Hauptmann E, Althaus SJ, Traverso LW, Sinanan M. Percutaneous CT-guided catheter drainage of infected acute necrotizing pancreatitis: techniques and results. AJR Am J Roentgenol 1998; 170: 969–975 http://dx.doi.org/10.2214/ajr.170.4.9530046[Crossref]
  • [13] Windsor JA. Minimally invasive pancreatic necrosectomy. Br J Surg 2007; 94: 132–133 http://dx.doi.org/10.1002/bjs.5723[Crossref]
  • [14] Raraty MG, Halloran CM, Dodd S, Ghaneh P, Connor S, Evans J et al. Minimal access retroperitoneal pancreatic necrosectomy. Ann Surg 2010; 251: 787–793 http://dx.doi.org/10.1097/SLA.0b013e3181d96c53[Crossref]
  • [15] Carter CR, McKay CJ, Imrie CW. Percutaneous necrosectomy and sinus tract endoscopy in the management of infected pancreatic necrosis: an initial experience. Ann Surg 2000; 232: 175–180 http://dx.doi.org/10.1097/00000658-200008000-00004[Crossref]
  • [16] Bello B, Matthews JB. Minimally invasive treatment of pancreatic necrosis. World J Gastroenterol 2012; 18: 6829–6835 http://dx.doi.org/10.3748/wjg.v18.i46.6829[Crossref]
  • [17] Babu BI, Siriwardena AK. Current status of minimally invasive necrosectomy for post-inflammatory pancreatic necrosis. HPB (Oxford) 2009; 11: 96–102 http://dx.doi.org/10.1111/j.1477-2574.2009.00041.x[Crossref]
  • [18] Schmidt CM. Introduction: SSAT/AGA/ASGE Stateof-the-Art Conference: necrotizing pancreatitis: novel minimally invasive strategies. J Gastrointest Surg 2011; 15:1086–1088 http://dx.doi.org/10.1007/s11605-011-1509-7[Crossref]
  • [19] Navaneethan U, Vege SS, Chari ST, Baron TH. Minimally invasive techniques in pancreatic necrosis. Pancreas. 2009; 38: 867–875 http://dx.doi.org/10.1097/MPA.0b013e3181b3b237[WoS][Crossref]
  • [20] Mortelé KJ, Girshman J, Szejnfeld D, Ashley SW, Erturk SM, Banks PA et al. CT-guided percutaneous catheter drainage of acute necrotizing pancreatitis: clinical experience and observations in patients with sterile and infected necrosis. AJR Am J Roentgenol 2009; 192: 110–116 http://dx.doi.org/10.2214/AJR.08.1116[Crossref]
  • [21] Horvath K, Freeny P, Escallon J, Heagerty P, Comstock B, Glickerman DJ et al. Safety and efficacy of video-assisted retroperitoneal debridement for infected pancreatic collections: a multicenter, prospective, single-arm phase 2 study. Arch Surg 2010; 145: 817–825 http://dx.doi.org/10.1001/archsurg.2010.178[WoS]
  • [22] Gambiez LP, Denimal FA, Porte HL, Saudemont A, Chambon JP, Quandalle PA. Retroperitoneal approach and endoscopic management of peripancreatic necrosis collections. Arch Surg 1998; 133: 66–72 http://dx.doi.org/10.1001/archsurg.133.1.66[Crossref]
  • [23] Connor S, Raraty MG, Howes N, Evans J, Ghaneh P, Sutton R et al. Surgery in the treatment of acute pancreatitis-minimal access pancreatic necrosectomy. Scand J Surg 2005; 94:135–142
  • [24] Castellanos G, Piñero A, Serrano A, Llamas C, Fuster M, Fernández JA et al. Translumbar retroperitoneal endoscopy: an alternative in the followup and management of infected pancreatic necrosis. Arch Surg 2005; 140: 952–955 http://dx.doi.org/10.1001/archsurg.140.10.952[Crossref]
  • [25] Fagniez PL, Julien M, Velluet M, Geramain A. Surgical treatment of acute necrotizing pancreatitis. Apropos of 47 cases. Chirurgie 1974; 100: 816–817
  • [26] Rau B, Uhl W, Buchler MW, Beger HG. Surgical treatment of infected necrosis. World J Surg 1997; 21:155–161 http://dx.doi.org/10.1007/s002689900208[Crossref]
  • [27] Fernández-del Castillo C, Rattner DW, Makary MA, Mostafavi A, McGrath D, Warshaw AL. Débridement and closed packing for the treatment of necrotizing pancreatitis. Ann Surg 1998; 228: 676–684 http://dx.doi.org/10.1097/00000658-199811000-00007[Crossref]
  • [28] Horvath KD. Kao LS, Ali A, Wherry KL, Pellegrini CA, Sinanan MN. Laparoscopic assisted percutaneous drainage of infected pancreatic necrosis. Surg Endosc 2001; 15: 677–682 http://dx.doi.org/10.1007/s004640080010[Crossref]
  • [29] van Saantvoort HC, Besselink MG, Horvath KD, Sinanan MN, Bollen TL, van Ramshorst B et al. Videoscopic assisted retroperitoneal debridement in infected necrotizing pancreatitis. HPB (Oxford) 2007; 9: 156–159 http://dx.doi.org/10.1080/13651820701225688[Crossref]
  • [30] Bakker OJ, van Santvoort HC, van Brunschot S, Geskus RB, Besselink MG, Bollen TL et al. Dutch Pancreatitis Study Group. Endoscopic transgastric vs surgical necrosectomy for infected necrotizing pancreatitis: a randomized trial. JAMA 2012; 307:1053–1061 http://dx.doi.org/10.1001/jama.2012.276[WoS][Crossref]
  • [31] Papachristou GI, Takahashi N, Chahal P, Sarr MG, Baron TH. Peroral endoscopic drainage/debridement of walled-off pancreatic necrosis. Ann Surg 2007; 245:943–951 http://dx.doi.org/10.1097/01.sla.0000254366.19366.69[Crossref][WoS]
  • [32] Escourrou J, Shehab H, Buscail L, Bournet B, Andrau P, Moreau J et al. Peroral transgastric/transduodenal necrosectomy: success in the treatment of infected pancreatic necrosis. Ann Surg 2008; 248(6):1074–1080 http://dx.doi.org/10.1097/SLA.0b013e31818b728b[WoS][Crossref]
  • [33] Baron TH, Thaggard WG, Morgan DE, Stanley RJ. Endoscopic therapy for organized pancreatic necrosis. Gastroenterology 1996; 111: 755–764 http://dx.doi.org/10.1053/gast.1996.v111.pm8780582[Crossref]
  • [34] Rattner DW, Hawes R, Schwaitzberg S, Kochman M, Swanstrom L. The Second SAGES/ASGE White Paper on natural orifice transluminal endoscopic surgery: 5 years of progress. Surg Endosc 2011; 25:2441–2448 http://dx.doi.org/10.1007/s00464-011-1605-5[Crossref]
  • [35] Zhu JF, Fan XH, Zhang XH. Laparoscopic treatment of severe acute pancreatitis. Surg Endosc 2001; 15: 146–148 http://dx.doi.org/10.1007/s004640000349[Crossref]
  • [36] Wani SV, Patankar RV, Mathur SK. Minimally invasive approach to pancreatic necrosectomy. J Laparoendosc Adv Surg Tech A. 2011; 21: 131–136 http://dx.doi.org/10.1089/lap.2010.0401[Crossref]
  • [37] Tan J, Tan H, Hu B, Ke C, Ding X, Chen F et al. Short-term outcomes from a multicenter retrospective study in China comparing laparoscopic and open surgery for the treatment of infected pancreatic necrosis. J Laparoendosc Adv Surg Tech A 2012; 22: 27–33 http://dx.doi.org/10.1089/lap.2011.0248[WoS][Crossref]
  • [38] Parekh D. Laparoscopic-assited pancreatic necrosectomy: a new surgical option for treatment of severe necrotizing pancreatitis. Arch Surg 2006; 141: 895–902 http://dx.doi.org/10.1001/archsurg.141.9.895[Crossref]
  • [39] Rodriguez JR, Razo AO, Targarona J, Thayer SP, Rattner DW, Warshaw AL et al. Debridement and closed packing for sterile or infected necrotizing pancreatitis: insights into indications and outcomes in 167 patients. Ann Surg 2008; 247: 294–9. http://dx.doi.org/10.1097/SLA.0b013e31815b6976[WoS][Crossref]
  • [40] Ashley SW, Perez A, Pierce EA, Brooks DC, Moore FD Jr, Whang EE. Necrotizing pancreatitis: contemporary analysis of 99 consecutive cases. Ann Surg 2001; 234: 572–579 http://dx.doi.org/10.1097/00000658-200110000-00016[Crossref]
  • [41] Chang YC, Tsai HM, Lin XZ, Chang CH, Chuang JP. No debridement is necessary for symptomatic or infected acute necrotizing pancreatitis: delayed, mini-retroperitoneal drainage for acute necrotizing pancreatitis without debridement and irrigation. Dig Dis Sci 2006; 51: 1388–1395 http://dx.doi.org/10.1007/s10620-006-9112-6[Crossref]
Document Type
Publication order reference
Identifiers
YADDA identifier
bwmeta1.element.-psjd-doi-10_2478_s11536-013-0283-1
JavaScript is turned off in your web browser. Turn it on to take full advantage of this site, then refresh the page.