RT Book, Section
A1 Hunter, John G.
A1 Spight, Donn H.
A1 Sandone, Corinne
A1 Fairman, Jennifer E.
SR Print(0)
ID 1162531125
T1 Pancreatic Necrosectomy
T2 Atlas of Minimally Invasive Surgical Operations
YR 2018
FD 2018
PB McGraw-Hill Education
PP New York, NY
SN 9780071449052
LK accesssurgery.mhmedical.com/content.aspx?aid=1162531125
RD 2024/04/16
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.