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Infected pancreatic necrosis: translumbar approach and management with retroperitoneoscopy Castellanos G; Pinero A; Serrano A; Parrilla PArch Surg 2002[Sep]; 137 (9): 1060-3; discussion 1063HYPOTHESIS: The extraperitoneal translumbar approach and retroperitoneoscopy are useful in the treatment and follow-up of patients with infected pancreatic necrosis. DESIGN: Descriptive study. SETTING: University hospital. PATIENTS: Fifteen consecutive patients with infected and drained pancreatic necrosis. INTERVENTIONS: Extraperitoneal translumbar approach to drain and retroperitoneoscopy as a method to propose evolutive control. MAIN OUTCOME MEASURES: Morbidity and mortality. RESULTS: Four (27%) of 15 patients died, and 3 (20%) of 15 patients experienced complications during hospital admission. CONCLUSIONS: The retroperitoneal access to infected pancreatic necrosis has low rates of mortality and morbidity and a low percentage of repeated surgeries, and retroperitoneoscopy facilitates evolutive control of treated infected pancreatic necrosis.|*Endoscopy[MESH]|Acute Disease[MESH]|Female[MESH]|Humans[MESH]|Length of Stay/statistics & numerical data[MESH]|Male[MESH]|Middle Aged[MESH]|Necrosis[MESH]|Pancreas/surgery[MESH]|Pancreatitis/*microbiology/pathology/surgery[MESH]|Retroperitoneal Space[MESH] |
