Retroperitoneal Necrosectomy Using Percutaneous Nephroscope in Management of Post-traumatic Pancreatitis: 6 Cases Report_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 FENGJian ¹ ,  CAIShou-wang ¹ , LIUZhi-wei ¹ , HELei ¹ , CHENJi-ye ¹ , XINXian-lei ¹ , WANGPeng-fei ¹ , XIAOYue-yong ² , ZHOUFei-hu ³ , LUShi-chun ¹ , DONGJia-hong ¹ , HUANGZhi-qiang ¹

1. 解放军总医院外科ICU(北京 100853);
2. Department of Hepatobiliary Surgery, Chinese PLA General Hospital. Beijing 100853, China. 2. Department of Radiology, Chinese PLA General Hospital. Beijing 100853, China;
3. Department of Surgical ICU, Chinese PLA General Hospital. Beijing 100853, China;

Corresponding author：

CAIShou-wang, Email: caisw8077.cai@vip.sina.com

Keywords：

Post-traumatic pancreatitis; Nephroscopic therapy; Minimally invasive treatment

DOI：

10.7507/1007-9424.20150007

Video：

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Objective To evaluate the clinical feasibility of retroperitoneal necrosectomy using percutaneous nephroscope in management of post-traumatic pancreatitis. Methods Six patients with post-traumatic pancreatitis were treated by percutaneous nephroscopic necrosectomy in our hospital. Results There were no operative mortality and morbidity except that 1 patient developed hemorrhage in 11 days after operation. Conclusion Percutaneous nephroscopic necrosectomy has the advantage of small operation wound, little postoperative discomfort, and preventing relaparotomy. It is an ideal method for treating post-traumatic pancreatitis.

Citation： FENGJian, CAIShou-wang, LIUZhi-wei, HELei, CHENJi-ye, XINXian-lei, WANGPeng-fei, XIAOYue-yong, ZHOUFei-hu, LUShi-chun, DONGJia-hong, HUANGZhi-qiang. Retroperitoneal Necrosectomy Using Percutaneous Nephroscope in Management of Post-traumatic Pancreatitis: 6 Cases Report. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2015, 22(1): 24-27. doi: 10.7507/1007-9424.20150007 Copy

1.	Akhrass R, Yaffe MB, Brandt CP, et al. Pancreatic trauma:a ten year multi-institutional experience. Am Surg, 1997, 63(7):598-604.
2.	Boffard KD, Brooks AJ. Pancreatic trauma-injuries to the pancreas and pancreatic duct. Eur J Surg, 2000, 166(1):4-12.
3.	Recinos G, DuBose JJ, Teixeira PG, et al. Local complications following pancreatic trauma. Injury, 2009, 40(5):516-520.
4.	Young PR Jr, Meredith JW, Baker CC, et al. Pancreatic injuries resulting from penetrating trauma:a multi-institution review. Am Surg, 1998, 64(9):838-843.
5.	Vasquez JC, Coimbra R, Hoyt DB, et al. Management of penetrating pancreatic trauma:an 11-year experience of a level-1 trauma center. Injury, 2001, 32(10):753-759.
6.	蔡守旺, 刘志伟, 董家鸿, 等.经皮肾镜治疗胰腺坏死感染技术要点.中国实用外科杂志, 2012, 32(7):596-597.
7.	蔡守旺, 刘志伟, 黄志强, 等.腹膜后入路经皮肾镜下感染性胰腺坏死的治疗.中华肝胆外科杂志, 2010, 16(8):597-599.
8.	蔡守旺, 王鹏飞, 刘志伟, 等.腹膜后入路经皮肾镜下感染性胰腺坏死的治疗方法的改进与效果.中华肝胆外科杂志, 2012, 18(6):439-441.
9.	Moore EE, Cogbill TH, Malangoni MA, et al. Organ injury scaling, Ⅱ:pancreas, duodenum, small bowel, colon and rectum. J Trauma, 1990, 30(11):1427-1429.
10.	Flati G, Andrén-Sandberg A, La Pinta M, et al. Potentially fatal bleeding in acute pancreatitis:pathophysiology, prevention, and treatment. Pancreas, 2003, 26(1):8-14.
11.	朱峰, 秦仁义.重症急性胰腺炎合并腹腔出血的早期诊断及处理方式.中国实用外科杂志, 2012, 32(7):554-556.
12.	Raraty MG, Halloran CM, Dodd S, et al. Minimal access retroperitoneal pancreatic necrosectomy:improvement in morbidity and mortality with a less invasive approach. Ann Surg, 2010, 251(5):787-793.
13.	García-Ureña MÁ, López-Monclús J, Melero-Montes D, et al. Video-assisted laparoscopic débridement for retroperitoneal pancreatic collections:a reliable step-up approach. Am Surg, 2013, 79(4):429-433.
14.	Szeliga J, Jackowski M. Minimally invasive procedures in severe acute pancreatitis treatment-assessment of benefits and possibilities of use. Wideochir Inne Tech Malo Inwazyjne, 2014, 9(2):170-178.
15.	Ulagendra Perumal S, Pillai SA, Perumal S, et al. Outcome of video-assisted translumbar retroperitoneal necrosectomy and closed lavage for severe necrotizing pancreatitis. ANZ J Surg, 2014, 84(4):270-274.
16.	Gambiez LP, Denimal FA, Porte HL, et al. Retroperitoneal approach and endoscopic management of peripancreatic necrosis collections. Arch Surg, 1998, 133(1):66-72.
17.	Carter CR, McKay CJ, Imrie CW. Percutaneous necrosectomy and sinus tract endoscopy in the management of infected pancreatic necrosis:an initial experience. Ann Surg, 2000, 232(2):175-180.
18.	Horvath KD, Kao LS, Wherry KL, et al. A technique for laparoscopic-assisted percutaneous drainage of infected pancreatic necrosis and pancreatic abscess. Surg Endosc, 2001, 15(10):1221-1225.
19.	Bakker OJ, van Santvoort HC, van Brunschot S, et al. Endoscopic transgastric vs surgical necrosectomy for infected necrotizing pancreatitis:a randomizedtrial. JAMA, 2012, 307(10):1053-1061.
20.	Castellanos G, Piñero A, Doig LA, et al. Management of infected pancreatic necrosis using retroperitoneal necrosectomy with flexible endoscope:10 years of experience. Surg Endosc, 2012, 27(2):443-453.
21.	van Santvoort HC, Besselink MG, Bollen TL, et al. Case-matched comparison of the retroperitoneal approach with laparotomy for necrotizing pancreatitis. World J Surg, 2007, 31(8):1635-1642.
22.	van Santvoort HC, Besselink MG, Bakker OJ, et al. A step-up approach or open necrosectomy for necrotizing pancreatitis. N Engl J Med, 2010, 362(16):1491-1502.
23.	Freeman ML, Werner J, van Santvoort HC, et al. Interventions for necrotizing pancreatitis:summary of a multidisciplinary consensus conference. Pancreas, 2012, 41(8):1176-1194.
24.	Tenner S, Baillie J, DeWitt J, et al. American College of Gastroenterology guideline:management of acute pancreatitis. Am J Gastroenterol, 2013, 108(9):1400-1415.
25.	Hollemans RA, van Brunschot S, Bakker OJ, et al. Minimally invasive intervention for infected necrosis in acute pancreatitis. Expert Rev Med Devices, 2014, 11(6):637-648.

1. Akhrass R, Yaffe MB, Brandt CP, et al. Pancreatic trauma:a ten year multi-institutional experience. Am Surg, 1997, 63(7):598-604.
2. Boffard KD, Brooks AJ. Pancreatic trauma-injuries to the pancreas and pancreatic duct. Eur J Surg, 2000, 166(1):4-12.
3. Recinos G, DuBose JJ, Teixeira PG, et al. Local complications following pancreatic trauma. Injury, 2009, 40(5):516-520.
4. Young PR Jr, Meredith JW, Baker CC, et al. Pancreatic injuries resulting from penetrating trauma:a multi-institution review. Am Surg, 1998, 64(9):838-843.
5. Vasquez JC, Coimbra R, Hoyt DB, et al. Management of penetrating pancreatic trauma:an 11-year experience of a level-1 trauma center. Injury, 2001, 32(10):753-759.
6. 蔡守旺, 刘志伟, 董家鸿, 等.经皮肾镜治疗胰腺坏死感染技术要点.中国实用外科杂志, 2012, 32(7):596-597.
7. 蔡守旺, 刘志伟, 黄志强, 等.腹膜后入路经皮肾镜下感染性胰腺坏死的治疗.中华肝胆外科杂志, 2010, 16(8):597-599.
8. 蔡守旺, 王鹏飞, 刘志伟, 等.腹膜后入路经皮肾镜下感染性胰腺坏死的治疗方法的改进与效果.中华肝胆外科杂志, 2012, 18(6):439-441.
9. Moore EE, Cogbill TH, Malangoni MA, et al. Organ injury scaling, Ⅱ:pancreas, duodenum, small bowel, colon and rectum. J Trauma, 1990, 30(11):1427-1429.
10. Flati G, Andrén-Sandberg A, La Pinta M, et al. Potentially fatal bleeding in acute pancreatitis:pathophysiology, prevention, and treatment. Pancreas, 2003, 26(1):8-14.
11. 朱峰, 秦仁义.重症急性胰腺炎合并腹腔出血的早期诊断及处理方式.中国实用外科杂志, 2012, 32(7):554-556.
12. Raraty MG, Halloran CM, Dodd S, et al. Minimal access retroperitoneal pancreatic necrosectomy:improvement in morbidity and mortality with a less invasive approach. Ann Surg, 2010, 251(5):787-793.
13. García-Ureña MÁ, López-Monclús J, Melero-Montes D, et al. Video-assisted laparoscopic débridement for retroperitoneal pancreatic collections:a reliable step-up approach. Am Surg, 2013, 79(4):429-433.
14. Szeliga J, Jackowski M. Minimally invasive procedures in severe acute pancreatitis treatment-assessment of benefits and possibilities of use. Wideochir Inne Tech Malo Inwazyjne, 2014, 9(2):170-178.
15. Ulagendra Perumal S, Pillai SA, Perumal S, et al. Outcome of video-assisted translumbar retroperitoneal necrosectomy and closed lavage for severe necrotizing pancreatitis. ANZ J Surg, 2014, 84(4):270-274.
16. Gambiez LP, Denimal FA, Porte HL, et al. Retroperitoneal approach and endoscopic management of peripancreatic necrosis collections. Arch Surg, 1998, 133(1):66-72.
17. Carter CR, McKay CJ, Imrie CW. Percutaneous necrosectomy and sinus tract endoscopy in the management of infected pancreatic necrosis:an initial experience. Ann Surg, 2000, 232(2):175-180.
18. Horvath KD, Kao LS, Wherry KL, et al. A technique for laparoscopic-assisted percutaneous drainage of infected pancreatic necrosis and pancreatic abscess. Surg Endosc, 2001, 15(10):1221-1225.
19. Bakker OJ, van Santvoort HC, van Brunschot S, et al. Endoscopic transgastric vs surgical necrosectomy for infected necrotizing pancreatitis:a randomizedtrial. JAMA, 2012, 307(10):1053-1061.
20. Castellanos G, Piñero A, Doig LA, et al. Management of infected pancreatic necrosis using retroperitoneal necrosectomy with flexible endoscope:10 years of experience. Surg Endosc, 2012, 27(2):443-453.
21. van Santvoort HC, Besselink MG, Bollen TL, et al. Case-matched comparison of the retroperitoneal approach with laparotomy for necrotizing pancreatitis. World J Surg, 2007, 31(8):1635-1642.
22. van Santvoort HC, Besselink MG, Bakker OJ, et al. A step-up approach or open necrosectomy for necrotizing pancreatitis. N Engl J Med, 2010, 362(16):1491-1502.
23. Freeman ML, Werner J, van Santvoort HC, et al. Interventions for necrotizing pancreatitis:summary of a multidisciplinary consensus conference. Pancreas, 2012, 41(8):1176-1194.
24. Tenner S, Baillie J, DeWitt J, et al. American College of Gastroenterology guideline:management of acute pancreatitis. Am J Gastroenterol, 2013, 108(9):1400-1415.
25. Hollemans RA, van Brunschot S, Bakker OJ, et al. Minimally invasive intervention for infected necrosis in acute pancreatitis. Expert Rev Med Devices, 2014, 11(6):637-648.

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Retroperitoneal Necrosectomy Using Percutaneous Nephroscope in Management of Post-traumatic Pancreatitis: 6 Cases Report

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