BACKGROUND/AIMS: Due to the anatomical location of the pancreas, sufficient drainage of a pancreatic necrosis by laparotomy may be unsatisfactory. METHODS: CT and helical CT have provided extremely useful information on the surgical treatment of necrotic pancreatitis. The retroperitoneal approach (RPA) allows direct and complete removal of necrotic tissues. RESULTS: RPA was used to treat 8 patients with infected pancreatic necrosis. Excision of necrotic tissues was effective and could minimize the complications often associated with laparotomy such as bleeding and intestinal injuries. CONCLUSION: By CT and helical CT, three-dimensional images of pancreatic necrosis are obtained. These investigations have greatly facilitated RPA, which has advantages over laparotomy in the treatment of infected pancreatic necrosis.
BACKGROUND/AIMS: Due to the anatomical location of the pancreas, sufficient drainage of a pancreatic necrosis by laparotomy may be unsatisfactory. METHODS: CT and helical CT have provided extremely useful information on the surgical treatment of necrotic pancreatitis. The retroperitoneal approach (RPA) allows direct and complete removal of necrotic tissues. RESULTS: RPA was used to treat 8 patients with infected pancreatic necrosis. Excision of necrotic tissues was effective and could minimize the complications often associated with laparotomy such as bleeding and intestinal injuries. CONCLUSION: By CT and helical CT, three-dimensional images of pancreatic necrosis are obtained. These investigations have greatly facilitated RPA, which has advantages over laparotomy in the treatment of infected pancreatic necrosis.
Authors: D Sermoneta; M Di Mugno; P L Spada; C Lodoli; M E Carvelli; S C Magalini; C Cavicchioni; M G Bocci; F Martorelli; M G Brizi; D Gui Journal: Int Wound J Date: 2010-08-19 Impact factor: 3.315
Authors: H C van Santvoort; M G H Besselink; K D Horvath; M N Sinanan; T L Bollen; B van Ramshorst; H G Gooszen Journal: HPB (Oxford) Date: 2007 Impact factor: 3.647
Authors: J Slavin; P Ghaneh; R Sutton; M Hartley; P Rowlands; C Garvey; M Hughes; J Neoptolemos Journal: World J Gastroenterol Date: 2001-08 Impact factor: 5.742
Authors: Pierre Allemann; Silvana Perretta; Mitsuhiro Asakuma; Bernard Dallemagne; Jacques Marescaux Journal: World J Gastrointest Surg Date: 2010-05-27