Minimally invasive techniques in the treatment of severe acute pancreatitis

• Authors: Ignasi Poves , Fernando Burdío , Dimitri Dorcaratto , Luis Grande
• 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.

Keywords

EN

Acute pancreatitis; Necrosectomy; Minimally invasive surgery; Laparoscopy

• Publisher: De Gruyter Open
• Journal: Open Medicine
• Year: 2014
• Volume: 9
• Issue: 4
• Pages: 580-587

Dates

published

1 - 8 - 2014

online

19 - 7 - 2014

Contributors

author

Ignasi Poves

• Unit of Hepato-Biliary-Pancreatic Surgery, Service of General and Digestive Surgery, Hospital Universitari del Mar, Universitat Autònoma de Barcelona, Barcelona, Spain

author

Fernando Burdío

• Unit of Hepato-Biliary-Pancreatic Surgery, Service of General and Digestive Surgery, Hospital Universitari del Mar, Universitat Autònoma de Barcelona, Barcelona, Spain

author

Dimitri Dorcaratto

• Unit of Hepato-Biliary-Pancreatic Surgery, Service of General and Digestive Surgery, Hospital Universitari del Mar, Universitat Autònoma de Barcelona, Barcelona, Spain

author

Luis Grande

• Unit of Hepato-Biliary-Pancreatic Surgery, Service of General and Digestive Surgery, Hospital Universitari del Mar, Universitat Autònoma de Barcelona, Barcelona, Spain

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Identifiers

DOI

10.2478/s11536-013-0283-1