Experience of laparoscopic-assisted necrosectomy in patients with infected necrotizing pancreatitis
Year: 2026
Type: article
Abstract: Acute pancreatitis is an inflammatory process in the pancreatic parenchyma and peripancreatic tissue, characterized by high mortality rates in case of infection. Surgical interventions are the basis in the late phase of the disease development. Due to the improvement of the treatment strategy, laparoscopic techniques of a debridement have become relevant again. Objective to analyze the results of treatment of patients with infected necrotizing pancreatitis who underwent laparoscopic-assisted necrosectomy. The experience of using laparoscopic-assisted necrosectomy in 10 patients with infected necrotizing pancreatitis who were in the surgical department of the Botkin Hospital from 2025 to March 2026 has been demonstrated in the article. All patients underwent the standardized algorithm of laboratory and instrumental investigations (with the definition of the “model” and “type” of necrotizing pancreatitis) and complex treatment. All the presented patients underwent operative treatment (we made from 1 to 3 repeated debridements). One intraoperative complication occurred, which required conversion. Two postoperative complications (grade I and grade IIIb according to the Clavien–Dindo classification) were also observed. Seven patients required intervention postoperatively (correction/replacement of drains) while remaining three patients did not. Our experience of the laparoscopic-assisted necrosectomy allows us to assert the effectiveness of this minimally invasive method of debridement. Laparoscopic techniques may provide with a debridement comparable in effectiveness with VARD and transgastric endoscopic necrosectomy and can be used as their alternative.
Source: Russian surgical journal
Language: English
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: hybrid
OpenAlex ID: W7212417848