4.5 Article

Open Pancreatic Debridement in Necrotizing Pancreatitis

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JOURNAL OF GASTROINTESTINAL SURGERY
卷 25, 期 1, 页码 331-332

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SPRINGER
DOI: 10.1007/s11605-020-04732-1

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Pancreatitis; Acute necrotizing; Pancreatic debridement; Necrosectomy; Operative technique

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Operative pancreatic debridement (OPD) is considered an important treatment strategy in modern management of necrotizing pancreatitis, assisting patients in their recovery process.
Introduction The modern era of intervention in necrotizing pancreatitis (NP) has seen a significant paradigm shift toward minimally invasive approaches as initial therapy. Methods This video outlines the critical steps of OPD for NP. Results A 69-year-old female with acute biliary NP underwent OPD for NP after 12-weeks of medical management. Her postoperative course was uncomplicated, and she was discharged home on postoperative day seven. The patient recovered uneventfully. Conclusion Operative pancreatic debridement (OPD), now considered the final step in the modern treatment algorithm of NP, remains an important treatment strategy in NP.

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