ArticleHPB : the official journal of the International Hepato Pancreato Biliary Association2009
Current status of minimally invasive necrosectomy for post-inflammatory pancreatic necrosis.
Article in HPB : the official journal of the International Hepato Pancreato Biliary Association, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 33 citations in OpenAlex.
- Laparoscopic necrosectomy for acute necrotising pancreatitis: Retrospective analysis of a decade-long experience from a tertiary centre.Journal of minimal access surgery · 2024Article
- Endotherapy for pancreatic necrosis: An update.JGH open : an open access journal of gastroenterology and hepatology · 2019Review
- Surgical transgastric debridement of walled off pancreatic necrosis: an option for patients with necrotizing pancreatitis.Surgical endoscopy · 2015Article
- Minimally invasive retroperitoneal necrosectomy in management of acute necrotizing pancreatitis.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2013Article
- Management of infected pancreatic necrosis using retroperitoneal necrosectomy with flexible endoscope: 10 years of experience.Surgical endoscopy · 2013Article
- History, goals, and technique of laparoscopic pancreatic necrosectomy.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2011Article
- Infected pancreatic necrosis: drain first, but do it better.HPB : the official journal of the International Hepato Pancreato Biliary Association · 2011Article
- Open transgastric debridement and internal drainage of symptomatic non-infected walled-off pancreatic necrosis.HPB : the official journal of the International Hepato Pancreato Biliary Association · 2011Article
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThis paper reviews current knowledge on minimally invasive pancreatic necrosectomy.
backgroundBlunt (non-anatomical) debridement of necrotic tissue at laparotomy is the standard method of treatment of infected post-inflammatory pancreatic necrosis. Recognition that laparotomy may add to morbidity by increasing postoperative organ dysfunction has led to the development of alternative, minimally invasive methods for debridement. This study reports the status of minimally invasive necrosectomy by different approaches.
methodsSearches of MEDLINE and EMBASE for the period 1996-2008 were undertaken. Only studies with original data and information on outcome were included. This produced a final population of 28 studies reporting on 344 patients undergoing minimally invasive necrosectomy, with a median (range) number of patients per study of nine (1-53). Procedures were categorized as retroperitoneal, endoscopic or laparoscopic.
resultsA total of 141 patients underwent retroperitoneal necrosectomy, of whom 58 (41%) had complications and 18 (13%) required laparotomy. There were 22 (16%) deaths. Overall, 157 patients underwent endoscopic necrosectomy; major complications were reported in 31 (20%) and death in seven (5%). Laparoscopic necrosectomy was carried out in 46 patients, of whom five (11%) required laparotomy and three (7%) died.
conclusionsMinimally invasive necrosectomy is technically feasible and a body of evidence now suggests that acceptable outcomes can be achieved. There are no comparisons of results, either with open surgery or among different minimally invasive techniques.
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