Percutaneous Necrosectomy and Video-assisted Retroperitoneal Debridement in Infected Necrotizing Pancreatitis

Abstract

A 40-year-old man was admitted to a previous hospital because of acute pancreatitis. Next day, CT showed hypo-enhanced area in the body and tail of pancreas. He was referred to our hospital on the diagnosis of severe acute pancreatitis. CT showed progressive retroperitoneal necrosis during hospitalization. Two months later, we performed video-assisted retroperitoneal debridement (VARD) through a 6 cm diameter incision in the left flank after underwent ultrasound-guided percutaneous drainage. He was discharged on postoperative day 32, without any additional treatment. This procedure is one of effective minimally invasive treatments for infected pancreatic necrosis.