RESULTS OF RETROPERITONEAL SURGERY WITH LAPAROSCOPIC ASSISTED TO TREAT NECROTIZING PANCREATITIS
Main Article Content
Abstract
Aims: to evaluate the results and initial experiences of the technique. Materials and methods: A retrospective descriptive study of 12 cases of acute necrotizing pancreatitis who underwent retroperitoneal surgery with laparoscopic assisted to remove necrotic tissue from 2019 to 2022 at the General Surgery Department, Bach Mai Hospital. Results: Male/female ratio was 5/1, average age: 56.7, mean time from disease onset to surgery was 21.5 days, average surgery time was 82.1 minutes, patients with 1 time surgery is 83.4%, 2 times surgery is 16.6%. The number of intervention cases on both sides is 6 patients (50%), Left intervention is 5 (41.7%), right side is 1 (8.3%) mortality rate: 8.3 %, complication rate is: 16.7%. Conclusion: Retroperitoneal surgery with laparoscopic assisted to remove necrotic tissue is minimally invasive surgery. It should be indicated in the 3rd week from the onset of the disease, is a safe and effective method with a high success rate, low complications and mortality rate.
Article Details
Keywords
acute pancreatitis, necrotizing pancreatitis, laparoscopic, minimally invasive surgery, retroperitoneal surgery with laparoscopic assisted
References
2. van Santvoort H. C. et al. (2010), "A step-up approach or open necrosectomy for necrotizing pancreatitis", N Engl J Med. 362 (16), pp. 1491-1502.
3. Sorrentino L. et al. (2017), "Combined totally mini-invasive approach in necrotizing pancreatitis: a case report and systematic literature review", World J Emerg Surg. 12, pp. 16.
4. Fagniez P. L. et al. (1989), "Direct retroperitoneal approach to necrosis in severe acute pancreatitis", Br J Surg. 76 (3), pp. 264-267.
5. Gambiez L. P. et al. (1998), "Retroperitoneal approach and endoscopic management of peripancreatic necrosis collections", Arch Surg. 133 (1), pp. 66-72.
6. Carter C. R. et al. (2000), "Percutaneous necrosectomy and sinus tract endoscopy in the management of infected pancreatic necrosis: an initial experience", Ann Surg. 232 (2), pp. 175-180.
7. Horvath K. D. et al. (2001), "Laparoscopic assisted percutaneous drainage of infected pancreatic necrosis", Surg Endosc. 15 (7), pp. 677-682.
8. van Santvoort H. C. et al. (2007), "Case-matched comparison of the retroperitoneal approach with laparotomy for necrotizing pancreatitis", World J Surg. 31 (8), pp. 1635-1642.
9. Yokoe M. et al. (2015), "Japanese guidelines for the management of acute pancreatitis: Japanese Guidelines 2015", J Hepatobiliary Pancreat Sci. 22 (6), pp. 405-432.
10. Doctor N. et al. (2011), "Analysis of the delayed approach to the management of infected pancreatic necrosis", World J Gastroenterol. 17 (3), pp. 366-371.