The role of minimally invasive techniques for necrosectomy in acute pancreatitis

Abstract Surgical debridement is the “gold standard” for treatment of infected pancreatic and peripancreatic necrosis. However, advances in radiologic imaging, new developments of interventional radiology, and other minimal access interventions have revolutionized the management of many surgical con...

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Bibliographic Details
Published in:The American journal of surgery 2007-10, Vol.194 (4), p.S24-S27
Main Authors: Werner, Jens, M.D, Hartwig, Werner, M.D, Hackert, Thilo, M.D, Büchler, Markus W., M.D
Format: Article
Language:English
Subjects:
Acute pancreatitis
Biological and medical sciences
Cysts
Gastroenterology. Liver. Pancreas. Abdomen
General aspects
Infected necrosis
Intensive care
Interventional care
Irrigation
Liver. Biliary tract. Portal circulation. Exocrine pancreas
Medical sciences
Morbidity
Mortality
Other diseases. Semiology
Pancreas
Patients
Sepsis
Surgery
Treatment
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Summary:Abstract Surgical debridement is the “gold standard” for treatment of infected pancreatic and peripancreatic necrosis. However, advances in radiologic imaging, new developments of interventional radiology, and other minimal access interventions have revolutionized the management of many surgical conditions over the past few decades. Consequently, even infected pancreatic necrosis has been successfully treated in selected patients. However, technical feasibility does not obviate sound clinical judgment. We must be cautious in the application of new technologies in the abscence of well-designed clinical trials. Thus, minimally invasive surgery and interventional therapy for infected necrosis should be limited to clinical trials and specific indications in patients who are critically ill and otherwise unfit for conventional surgery.
ISSN:0002-9610
1879-1883
DOI:10.1016/j.amjsurg.2007.05.013