Infected pancreatic necrosis: translumbar approach and management with retroperitoneoscopy

Arch Surg. 2002 Sep;137(9):1060-3; discussion 1063. doi: 10.1001/archsurg.137.9.1060.


Hypothesis: The extraperitoneal translumbar approach and retroperitoneoscopy are useful in the treatment and follow-up of patients with infected pancreatic necrosis.

Design: Descriptive study.

Setting: University hospital.

Patients: Fifteen consecutive patients with infected and drained pancreatic necrosis.

Interventions: Extraperitoneal translumbar approach to drain and retroperitoneoscopy as a method to propose evolutive control.

Main outcome measures: Morbidity and mortality.

Results: Four (27%) of 15 patients died, and 3 (20%) of 15 patients experienced complications during hospital admission.

Conclusions: The retroperitoneal access to infected pancreatic necrosis has low rates of mortality and morbidity and a low percentage of repeated surgeries, and retroperitoneoscopy facilitates evolutive control of treated infected pancreatic necrosis.

Publication types

  • Review

MeSH terms

  • Acute Disease
  • Endoscopy*
  • Female
  • Humans
  • Length of Stay / statistics & numerical data
  • Male
  • Middle Aged
  • Necrosis
  • Pancreas / surgery
  • Pancreatitis / microbiology*
  • Pancreatitis / pathology
  • Pancreatitis / surgery
  • Retroperitoneal Space