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Laparoscopic intragastric approach to transgastric necrosectomy

The laparoscopic transgastric approach to infected pancreatic necrosis is an alternative to endoscopy deemed particularly interesting in patients with large retrogastric walled-off necrosis. It allows to carry out a cystogastrostomy and an initial extensive necrosectomy, adding the possibility of future endoscopic necrosectomies if needed. Frequently this technique is performed using an anterior gastrotomy to access the gastric lumen1,2 .