TY - JOUR
T1 - Single incision laparoscopic approach for infected necrotizing pancreatitis
T2 - A case report
AU - den Dekker, N.
AU - Grüter, A. A.J.
AU - van Oostendorp, S. E.
AU - Zonderhuis, B. M.
AU - Tuynman, J. B.
PY - 2020
Y1 - 2020
N2 - Introduction: Approximately 5% of patients with acute pancreatitis develop infected necrotizing pancreatitis, with reported mortality rates up to 32%. Surgical interventions are postponed as long as possible, but if surgical debridement is needed the optimal approach has not been found yet. Case presentation: A 47-year-old male was referred to our tertiary centre with infected necrotizing pancreatitis. Two months after initial presentation and repeated percutaneous drainage, surgical retroperitoneal debridement of the necrotic tissue was performed using a single incision laparoscopic surgery (SILS) port. Postoperatively, percutaneous drainage was performed two more times, but no additional surgical interventions were needed. The patient was discharged one month after the surgical procedure. Discussion and conclusion: This is the first report of a minimally invasive technique using a SILS port for debridement of necrotizing pancreatitis. The ability to create a stable pneumo-retroperitoneum leads to optimal visualisation, better haemostasis, more space to operate in, better instrument handling, and better tissue control.
AB - Introduction: Approximately 5% of patients with acute pancreatitis develop infected necrotizing pancreatitis, with reported mortality rates up to 32%. Surgical interventions are postponed as long as possible, but if surgical debridement is needed the optimal approach has not been found yet. Case presentation: A 47-year-old male was referred to our tertiary centre with infected necrotizing pancreatitis. Two months after initial presentation and repeated percutaneous drainage, surgical retroperitoneal debridement of the necrotic tissue was performed using a single incision laparoscopic surgery (SILS) port. Postoperatively, percutaneous drainage was performed two more times, but no additional surgical interventions were needed. The patient was discharged one month after the surgical procedure. Discussion and conclusion: This is the first report of a minimally invasive technique using a SILS port for debridement of necrotizing pancreatitis. The ability to create a stable pneumo-retroperitoneum leads to optimal visualisation, better haemostasis, more space to operate in, better instrument handling, and better tissue control.
KW - Case report
KW - Infected necrotizing pancreatitis
KW - Minimally invasive technique
KW - Necrosectomy
KW - SILS
UR - http://www.scopus.com/inward/record.url?scp=85087956460&partnerID=8YFLogxK
U2 - https://doi.org/10.1016/j.ijscr.2020.07.020
DO - https://doi.org/10.1016/j.ijscr.2020.07.020
M3 - Article
C2 - 32688237
SN - 2210-2612
VL - 73
SP - 157
EP - 160
JO - International journal of surgery case reports
JF - International journal of surgery case reports
ER -