Role of Minimal Access Surgery in Management of Infective Pancreatic Necrosis
Kiran Somani, Dnyanesh M Belekar
Citation Information :
Somani K, Belekar DM. Role of Minimal Access Surgery in Management of Infective Pancreatic Necrosis. World J Lap Surg 2011; 4 (3):160-165.
To study various minimal access surgical techniques of pancreatic debridement for infected pancreatic necrosis (IPN).
Method
A review of literature is done using various search engines like Google, Yahoo, PubMed, etc. by using keywords: Pancreatic necrosectomy, laparoscopic, endoscopic pancreatic necrosectomy.
This article reviews various methods of minimally access pancreatic necrosectomy (MAN) can be classified by the type of scope used flexible endoscope, laparoscope, nephroscope and the route of access transperitoneal, transgastric, retroperitoneal. Each of the scopes and access routes has its advantages and disadvantages.
Result and conclusion
Only few large series of cases of MAN have been published, rest are limited to case reports. There are no comparisons of results, either with open surgery or among different minimal access surgeries but a body of evidence now suggests that acceptable outcomes can be achieved and minimal access necrosectomy is technically feasible, well tolerated and beneficial for patients when compared with open surgery.
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