[Percutaneous retroperitoneal necrectomy for infected forms of acute necrotizing pancreatitis].

Abstract

The review is devoted to percutaneous retroperitoneal necrectomy in the treatment of infected forms of acute pancreatitis. The indications for retroperitoneal necrectomy are given, and technical features are described for open retroperitoneal necrectomy, percutaneous endoscopic retroperitoneal necrectomy, video-assisted retroperitoneal debridement and transfistular endoscopic retroperitoneal necrectomy. Available data on results of percutaneous retroperitoneal necrectomy indicate expediency of wider application of this treatment option for infected forms of acute necrotizing pancreatitis in large multidisciplinary centers.