A surgical treatment of infected pancreatic necrosis: retroperitoneal laparotomy

Dig Surg. 1999;16(6):506-11. doi: 10.1159/000018777.


Background/aims: Due to the anatomical location of the pancreas, sufficient drainage of a pancreatic necrosis by laparotomy may be unsatisfactory.

Methods: CT and helical CT have provided extremely useful information on the surgical treatment of necrotic pancreatitis. The retroperitoneal approach (RPA) allows direct and complete removal of necrotic tissues.

Results: RPA was used to treat 8 patients with infected pancreatic necrosis. Excision of necrotic tissues was effective and could minimize the complications often associated with laparotomy such as bleeding and intestinal injuries.

Conclusion: By CT and helical CT, three-dimensional images of pancreatic necrosis are obtained. These investigations have greatly facilitated RPA, which has advantages over laparotomy in the treatment of infected pancreatic necrosis.

MeSH terms

  • Adult
  • Aged
  • Bacterial Infections / diagnostic imaging
  • Bacterial Infections / etiology
  • Bacterial Infections / surgery*
  • Debridement / methods
  • Female
  • Humans
  • Image Processing, Computer-Assisted
  • Male
  • Middle Aged
  • Pancreatectomy / methods*
  • Pancreatitis, Acute Necrotizing / diagnostic imaging
  • Pancreatitis, Acute Necrotizing / etiology
  • Pancreatitis, Acute Necrotizing / surgery*
  • Reoperation
  • Retroperitoneal Space
  • Tomography, X-Ray Computed