Retrospective Validation of an Algorithmic Treatment Pathway for Necrotizing Pancreatitis.
Publication/Presentation Date
8-1-2019
Abstract
The role of surgical intervention for necrotizing pancreatitis has evolved; however, no widely accepted algorithm has been established to guide timing and optimal modality in the minimally invasive era. This study aimed to retrospectively validate an established institutional timing- and physiologic-based algorithm constructed from evidence-based guidelines in a high-volume hepatopancreatobiliary center. Patients with necrotizing pancreatitis requiring early (≤six weeks from symptom onset) or delayed (>six weeks) surgical intervention were reviewed over a four-year period (n = 100). Early intervention was provided through laparoscopic drain-guided retroperitoneal debridement (n = 15) after failed percutaneous drainage unless they required an emergent laparotomy (due to abdominal compartment syndrome, bowel necrosis/perforation, or hemorrhage) after which conservative, sequential open necrosectomy was performed (n = 47). Robot-assisted (n = 16)
Volume
85
Issue
8
First Page
840
Last Page
847
ISSN
1555-9823
Published In/Presented At
Pickens, R. C., Sulzer, J. K., Cochran, A., Vrochides, D., Martinie, J. B., Baker, E. H., Ocuin, L. M., & Iannitti, D. A. (2019). Retrospective Validation of an Algorithmic Treatment Pathway for Necrotizing Pancreatitis. The American surgeon, 85(8), 840–847.
Disciplines
Medicine and Health Sciences
PubMedID
32051069
Department(s)
Department of Surgery, Lehigh Valley Topper Cancer Institute
Document Type
Article