TY - CHAP M1 - Book, Section TI - Pancreatic Necrosectomy A1 - Hunter, John G. A1 - Spight, Donn H. A1 - Sandone, Corinne A1 - Fairman, Jennifer E. Y1 - 2018 N1 - T2 - Atlas of Minimally Invasive Surgical Operations AB - Intervention is indicated in patients with infected necrotizing pancreatitis and clinical signs of infection or sepsis. The minimally invasive step-up approach is applicable in nearly all patients and has been shown to be superior to primary open necrosectomy in terms of major morbidity including postprocedural organ failure. The step-up approach consists of percutaneous catheter drainage as a first step followed by video-assisted retroperitoneal debridement (VARD) when needed. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/19 UR - accesssurgery.mhmedical.com/content.aspx?aid=1162531125 ER -