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2015 ; 2015
(ä): 693040
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Minimally Invasive Necrosectomy Techniques in Severe Acute Pancreatitis: Role of
Percutaneous Necrosectomy and Video-Assisted Retroperitoneal Debridement
#MMPMID26587018
Logue JA
; Carter CR
Gastroenterol Res Pract
2015[]; 2015
(ä): 693040
PMID26587018
show ga
Consensus advocating a principle of early organ support, nutritional
optimisation, followed ideally by delayed minimally invasive intervention within
a "step-up" framework where possible has radically changed the surgical approach
to complications of acute pancreatitis in the last 20 years. The 2012 revision of
the Atlanta Classification incorporates these changes, and provides a background
which underpins the complexities of individual patient management decisions. This
paper discusses the place for delayed minimally invasive surgical intervention
(percutaneous necrosectomy, video-assisted retroperitoneal debridement (VARD)),
and the rationale for opting to adopt a percutaneous approach over endoscopic or
laparoscopic approaches in different clinical situations.