Management of Infected Pancreatic Necrosis—The “Step Up-Approach and Minimal Access Retroperitoneal Pancreatic Necrosectomy

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• 作者：B. Joseph John ; S. Swaminathan ; L. VenkataKrishnan…
• 关键词：Pancreatic necrosis ; Infection ; Necrosectomy ; Step up approach
• 刊名：Indian Journal of Surgery
• 出版年：2015
• 出版时间：April 2015
• 年：2015
• 卷：77
• 期：1-supp
• 页码：125-127
• 全文大小：179 KB
• 参考文献：1.Da Costa DW, Boerma D, van Santvoort HC, Horvath KD et al (2014) Staged multidisciplinary step-up management for necrotizing pancreatitis. Br J Surg 101:e65–e79View Article PubMed
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• 作者单位：B. Joseph John (1)
  S. Swaminathan (1)
  L. VenkataKrishnan (2)
  G. S. Singh (1)
  G. Krishnaveni (2)
  N. Mohandas (2)
  S. Pandey (3)
  B. Devanand (3)
  
  1. Department of HPB and Liver Transplant Surgery, PSG Institute of Medical Sciences and Research, Peelamedu, Coimbatore, India
  2. Department of Gastroenterology, PSG Institute of Medical Sciences and Research, Coimbatore, India
  3. Department of Radiology, PSG Institute of Medical Sciences and Research, Coimbatore, India
  
• 刊物主题：Surgery; Pediatric Surgery; Neurosurgery; Plastic Surgery; Cardiac Surgery; Thoracic Surgery;
• 出版者：Springer India
• ISSN：0973-9793

文摘

Infected pancreatic necrosis (IPN) is associated with high morbidity and mortality. It is increasingly being recognized that noninvasive management, radiological guided drainage, and minimally invasive procedures rather than the traditionally advocated open necrosectomy are associated with a better outcome in IPN. We present a patient with IPN who was managed with the now popular “step up-approach and describe the procedure of Minimal access retroperitoneal pancreatic necrosectomy.