Videoscopic assisted retroperitoneal debridement in infected necrotizing pancreatitis

Authors: van Santvoort, H.C.1; Besselink, M.G.H.1; Horvath, K.D.2; Sinanan, M.N.2; Bollen, T.L.3; van Ramshorst, B.4; Gooszen, H.G.1; Group, Dutch Acute Pancreatis Study

Source: Hpb, Volume 9, Number 2, 2007 , pp. 156-159(4)

Publisher: Taylor and Francis Ltd

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Abstract:

Surgical intervention in patients with infected necrotizing pancreatitis generally consists of laparotomy and necrosectomy. This is an invasive procedure that is associated with high morbidity and mortality rates. In this report, we present an alternative minimally invasive technique: videoscopic assisted retroperitoneal debridement (VARD). This technique can be considered a hybrid between endoscopic and open retroperitoneal necrosectomy. A detailed technical description is provided and the advantages over various other minimally invasive retroperitoneal techniques are discussed.

Keywords: acute pancreatitis; minimal invasive surgery; necrotizing pancreatitis; necrosectomy; surgery

Document Type: Research article

DOI: http://dx.doi.org/10.1080/13651820701225688

Affiliations: 1: Department of Surgery, University Medical Center Utrecht, The Netherlands 2: Department of Surgery, University of Washington Medical Center, USA 3: Departments of Radiology, St Antonius Hospital, Nieuwegein, The Netherlands 4: Surgery, St Antonius Hospital, Nieuwegein, The Netherlands

Publication date: 2007-01-01

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