Your browser doesn't support javascript.
loading
Video assisted retroperitoneal debridement for infected pancreatic necrosis: A two port approach for difficult access.
Gómez-Carrillo, Daniel; Chaves, Carlos Eduardo Rey; Romero, María Valentina; Cruz, Jaime; Fajardo, Roosevelt; Díaz, Francisco.
Afiliación
  • Gómez-Carrillo D; School of Medicine, Universidad de los Andes, Bogotá, Colombia. Electronic address: de.gomez@uniandes.edu.co.
  • Chaves CER; Estudiante de posgrado Cirugía General, Pontificia Universidad Javeriana, Facultad de Medicina, Bogotá, Colombia.
  • Romero MV; Estudiante de posgrado Cirugía General, Pontificia Universidad Javeriana, Facultad de Medicina, Bogotá, Colombia.
  • Cruz J; Pontificia Universidad Javeriana, Bogotá, Colombia.
  • Fajardo R; Estudiante de posgrado Cirugía General, Pontificia Universidad Javeriana, Facultad de Medicina, Bogotá, Colombia; Department of Surgery, Hospital Universitario Fundación Santa Fe de Bogotá, Colombia.
  • Díaz F; Estudiante de posgrado Cirugía General, Pontificia Universidad Javeriana, Facultad de Medicina, Bogotá, Colombia; Department of Surgery, Hospital Universitario Fundación Santa Fe de Bogotá, Colombia.
Int J Surg Case Rep ; 119: 109740, 2024 Jun.
Article en En | MEDLINE | ID: mdl-38728969
ABSTRACT
INTRODUCTION AND IMPORTANCE The incidence of acute pancreatitis varies globally, and its rates are increasing. Timely intervention in cases of infected necrosis is crucial to effective management. The landscape of acute pancreatitis management has undergone transformation through adopting a "step-up" strategy, accentuating the shift towards minimally invasive techniques. CASE PRESENTATION A 63-year-old patient with acute pancreatitis and infected pancreatic necrosis underwent a challenging yet successful treatment using video-assisted retroperitoneal debridement employing a two-port approach facilitated access for an intricate area. The procedure, performed 45 days after admission, effectively reduced peripancreatic collections, demonstrating the efficacy of this approach in managing complex cases of infected pancreatic necrosis. CLINICAL

DISCUSSION:

The management of acute pancreatitis has evolved towards a comprehensive strategy involving early hydration, nutritional support, effective pain management, and interventions. Infected pancreatic necrosis poses a serious complication, with minimally invasive techniques such as video-assisted retroperitoneal debridement (VARD) emerging as preferred options. The efficacy and safety of VARD in complex cases are highlighted, although challenges persist, especially in extensive necrosis.

CONCLUSION:

The VARD procedure, a key component of the step-up approach, exhibits a remarkable safety profile, substantially reducing postoperative complications and mortality compared to open surgical counterparts. However, challenges persist in managing cases of infected Walled-Off Necrosis with deep extension, necessitating carefully considering a minimal-access approach. We report our experience using the VARD in a two-port approach.
Palabras clave
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Int J Surg Case Rep Año: 2024 Tipo del documento: Article Pais de publicación: Países Bajos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Int J Surg Case Rep Año: 2024 Tipo del documento: Article Pais de publicación: Países Bajos