SciELO - Scientific Electronic Library Online

 
vol.52 issue4Treatment of Riedel's thyroiditis with triamcinoloneSternal fracture caused by ox horns author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand

Journal

Article

Indicators

  • Have no cited articlesCited by SciELO

Related links

  • Have no similar articlesSimilars in SciELO

Share


Revista Cubana de Cirugía

Print version ISSN 0034-7493

Abstract

FERNANDEZ GOMEZ, Andrés; SANCHEZ MENENDEZ, Alberto C; PUJOL LEGRA, Pedro M  and  LOPEZ ABREU, Yolaisy. Laparoscopic necrosectomy in acute pancreatitis. Rev Cubana Cir [online]. 2013, vol.52, n.4, pp.306-314. ISSN 0034-7493.

Introduction: despite recent advances, acute prancreatitis is still a problem in current surgery. Its necrotizing form is the most feared form with estimated mortality rate of 50% of surgical cases and up to 100% of non-operated cases. A significant number of patients with necrotizing pancreatitis will require surgery, being laparoscopic necrosectomy the fundamental management procedure. However, new minimally invasive surgical modalities have been introduced in this treatment. The laparoscopic approach is one of these modalities with further advantages in the future progression of the patient and his rapid recovery; this is one of the least used and evaluated routes, mainly due to technical requirements, trained staff and conditions of the patient to perform the procedure. Clinical case: a patient with clinical and tomographic diagnosis of acute necrotizing pancreatitis was surgically treated after three weeks of admission, since this patient presented pancreatic abscess first and infected extensive necrosis later. The recovery was satisfactory without complications. Conclusions: the laparoscopic approach of these patients is possible, provided that there are available technical conditions, trained staff and the required conditions of the patient. This will bring about many advantages, with higher results than in the conventional route, including the possibility of marked reduction of the high mortality rate still present in complicated acute pancreatitis surgery.

Keywords : necrotizing acute pancreatitis; surgery; video-assisted surgery.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )