Laparoscopic Transgastric Pancreatic Débridement

摘要

Open operative debridement has been the traditional approach to patients with pancreatic necrosis. Recently, improved understanding of the disease natural history coupled with significant advances in minimally invasive interventional techniques (both endoscopic and laparoscopic) have led clinicians to apply these minimally invasive interventions to pancreatic debridement. This report details one such minimally invasive approach—laparoscopic transgastric pancreatic necrosectomy. A thorough understanding of this complex and heterogeneous disease process is necessary to select patients properly for the most appropriate therapeutic approach.