Laparoscopy-assisted open cystogastrostomy and pancreatic debridement for necrotizing pancreatitis (with video)

Abstract

Open cystogastrostomy for necrotizing pancreatitis promotes adequate internal drainage with few postoperative complications and a short length of hospital stay. However, this technique must be performed very cautiously due to the risk of vascular injury which can be difficult to repair in the context of severe local inflammation related to pancreatic necrosis.

Robot-assisted trans-gastric drainage and debridement of walled-off pancreatic necrosis using the EndoWrist stapler for the da Vinci Xi: A case report

“…The advantages of a minimally-invasive approach for the treatment of pancreatic pseudocysts and WOPN are well known[8,9]. In the last decades different minimally invasive approaches have been described in literature, including endoscopic[10], laparoscopic[11,12], SILS[13] and robotic approach[5-7]. Several cases of laparoscopic drainage of pancreatic pseudocysts by cystogastrostomy have been described since the late 90s by Smadja et al[14].…”

Various Endoscopic Techniques for Treatment of Consequences of Acute Necrotizing Pancreatitis: Practical Updates for the Endoscopist

“…As it has been mentioned above development of minimally invasive techniques enabled transperitoneal, retroperitoneal, transmural, or transpapillary approach to pancreatic necrosis [8][9][10][11][12][13][14]. Current literature gives access to manuscripts, which describe alternative minimally invasive methods of treatment of pancreatic necrosis [77][78][79][80], allowing to perform a one-shot treatment as a result of broad access to the necrotic cavity and a more extensive and safe debridement for the necrosis [77][78][79][80]. In order to demonstrate efficiency of mentioned methods further studies conducted on a larger number of patients are required.…”