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Infected pancreatic necrosis: translumbar approach and management with retroperitoneoscopy.

HYPOTHESIS
The extraperitoneal translumbar approach and retroperitoneoscopy are useful in the treatment and follow-up of patients with infected pancreatic necrosis.


DESIGN
Descriptive study.


SETTING
University hospital.


PATIENTS
Fifteen consecutive patients with infected and drained pancreatic necrosis.


INTERVENTIONS
Extraperitoneal translumbar approach to drain and retroperitoneoscopy as a method to propose evolutive control.


MAIN OUTCOME MEASURES
Morbidity and mortality.


RESULTS
Four (27%) of 15 patients died, and 3 (20%) of 15 patients experienced complications during hospital admission.


CONCLUSIONS
The retroperitoneal access to infected pancreatic necrosis has low rates of mortality and morbidity and a low percentage of repeated surgeries, and retroperitoneoscopy facilitates evolutive control of treated infected pancreatic necrosis.