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Diseases of the Pancreas pp 249–252Cite as

Benefits and Limitations of Necrosectomy

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References

  1. Beger HG, Rau B, Isenmann R (2000) Nekrosektomie oder anatomiegerechte Resektion bei akuter Pankreatitis. Chirurg 71:274–280

    Article  PubMed  CAS  Google Scholar 

  2. Moynihan B (1925) Acute pancreatitis. Ann Surg 9:943

    Google Scholar 

  3. Heinrich S, Schafer M, Rousson V, Clavien PA (2006) Evidence-based treatment of acute pancreatitis: a look at established paradigms. Ann Surg 243:154–168

    Article  PubMed  Google Scholar 

  4. Mayumi T, Takada T, Kawarada Y, Hirata K, Yoshida M, Sekimoto M, Hirota M, Kimura Y, Takeda K, Isaji S, Koizumi M, Otsuki M, Matsuno S (2006) Management strategy for acute pancreatitis in the JPN Guidelines. J Hepatobiliary Pancreat Surg 13:61–67

    Article  PubMed  Google Scholar 

  5. Pederzoli P, Bassi C, Vesentini S, Campedelli A (1993) A randomized multicenter clinical trial of antibiotic prophylaxis of septic complications in acute necrotizing pancreatitis with imipenem. Surg Gynecol Obstet 176:480–483

    PubMed  CAS  Google Scholar 

  6. Whitcomb DC (2006) Clinical practice. Acute pancreatitis. N Engl J Med 354:2142–2150

    Article  PubMed  Google Scholar 

  7. Bassi C, Larvin M, Villatoro E (2003) Antibiotic therapy for prophylaxis against infection of pancreatic necrosis in acute pancreatitis. Cochrane Database Syst Rev 4:CD002941

    Google Scholar 

  8. Buchler MW, Gloor B, Muller CA, Friess H, Seiler CA, Uhl W (2000) Acute necrotizing pancreatitis: treatment strategy according to the status of infection. Ann Surg 232:619–626

    Article  PubMed  CAS  Google Scholar 

  9. Bradley EL III, Allen K (1991) A prospective longitudinal study of observation versus surgical intervention in the management of necrotizing pancreatitis. Am J Surg 161:19–24

    Article  PubMed  Google Scholar 

  10. Bradley EL III (1996) Indications for debridement of necrotizing pancreatitis. Pancreas 13:219–223

    PubMed  Google Scholar 

  11. Rau B, Pralle U, Uhl W, Schoenberg MH, Beger HG (1995) Management of sterile necrosis in instances of severe acute pancreatitis. J Am Coll Surg 181:279–288

    PubMed  CAS  Google Scholar 

  12. Isenmann R, Rau B, Beger HG (1999) Bacterial infection and extent of necrosis are determinants of organ failure in patients with acute necrotizing pancreatitis. Br J Surg 86:1020–1024

    Article  PubMed  CAS  Google Scholar 

  13. Rau B, Bothe A, Beger HG (2005) Surgical treatment of necrotizing pancreatitis by necrosectomy and closed lavage: changing patient characteristics and outcome in a 19-year, single-center series. Surgery 138:28–39

    Article  PubMed  CAS  Google Scholar 

  14. Uhl W, Warshaw A, Imrie C, Bassi C, McKay CJ, Lankisch PG, Carter R, Di ME, Banks PA, Whitcomb DC, Dervenis C, Ulrich CD, Satake K, Ghaneh P, Hartwig W, Werner J, McEntee G, Neoptolemos JP, Buchler MW (2002) IAP Guidelines for the surgical management of acute pancreatitis. Pancreatology 2:565–573

    Article  PubMed  Google Scholar 

  15. Bassi C, Butturini G, Falconi M, Salvia R, Frigerio I, Pederzoli P (2003) Outcome of open necrosectomy in acute pancreatitis. Pancreatology 3:128–132

    Article  PubMed  CAS  Google Scholar 

  16. Mier J, Leon EL, Castillo A, Robledo F, Blanco R (1997) Early versus late necrosectomy in severe necrotizing pancreatitis. Am J Surg 173:71–75

    Article  PubMed  CAS  Google Scholar 

  17. Fernandez-del CC, Rattner DW, Makary MA, Mostafavi A, McGrath D, Warshaw AL (1998) Debridement and closed packing for the treatment of necrotizing pancreatitis. Ann Surg 228:676–684

    Article  Google Scholar 

  18. Beger HG, Rau B, Isenmann R (2003) Natural history of necrotizing pancreatitis. Pancreatology 3:93–101

    Article  PubMed  Google Scholar 

  19. Isenmann R, Rau B, Beger HG (2001) Early severe acute pancreatitis: characteristics of a new subgroup. Pancreas 22:274–278

    Article  PubMed  CAS  Google Scholar 

  20. Buter A, Imrie CW, Carter CR, Evans S, McKay CJ (2002) Dynamic nature of early organ dysfunction determines outcome in acute pancreatitis. Br J Surg 89:298–302

    Article  PubMed  CAS  Google Scholar 

  21. Renzulli P, Jakob SM, Tauber M, Candinas D, Gloor B (2005) Severe acute pancreatitis: case-oriented discussion of interdisciplinary management. Pancreatology 5:145–156

    Article  PubMed  Google Scholar 

  22. Nathens AB, Curtis JR, Beale RJ, Cook DJ, Moreno RP, Romand JA, Skerrett SJ, Stapleton RD, Ware LB, Waldmann CS (2004) Management of the critically ill patient with severe acute pancreatitis. Crit Care Med 32:2524–2536

    Article  PubMed  Google Scholar 

  23. Connor S, Ghaneh P, Raraty M, Sutton R, Rosso E, Garvey CJ, Hughes ML, Evans JC, Rowlands P, Neoptolemos JP (2003) Minimally invasive retroperitoneal pancreatic necrosectomy. Dig Surg 20:270–277

    Article  PubMed  CAS  Google Scholar 

  24. Cushieri SA (1998) Preface. Semin Laparosc Surg 5:145–146

    PubMed  Google Scholar 

  25. Seewald S, Groth S, Omar S, Imazu H, Seitz U, de W A, Soetikno R, Zhong Y, Sriram PV, Ponnudurai R, Sikka S, Thonke F, Soehendra N (2005) Aggressive endoscopic therapy for pancreatic necrosis and pancreatic abscess: a new safe and effective treatment algorithm (videos) Gastrointest Endosc 62:92–100

    Article  PubMed  Google Scholar 

  26. Fernandez-del CC, Warshaw AL (2000) Parenchymal necrosis: infection and other indications for debridement and drainage. Chirurg 71:269–273

    Google Scholar 

  27. Ashley SW, Perez A, Pierce EA, Brooks DC, Moore FD, Jr, Whang EE, Banks PA, Zinner MJ (2001) Necrotizing pancreatitis: contemporary analysis of 99 consecutive cases. Ann Surg 234:572–579

    Article  PubMed  CAS  Google Scholar 

  28. Ramesh H, Prakash K, Lekha V, Jacob G, Venugopal A (2003) Are some cases of infected pancreatic necrosis treatable without intervention? Dig Surg 20:296–299

    Article  PubMed  CAS  Google Scholar 

  29. Runzi M, Niebel W, Goebell H, Gerken G, Layer P (2005) Severe acute pancreatitis: nonsurgical treatment of infected necroses. Pancreas 30:195–199

    Article  PubMed  Google Scholar 

  30. McFadden DW, Reber HA (1994) Indications for surgery in severe acute pancreatitis. Int J Pancreatol 15:83–90

    PubMed  CAS  Google Scholar 

  31. Ranson JH (1995) The current management of acute pancreatitis. Adv Surg 28:93–112

    PubMed  CAS  Google Scholar 

  32. McKay CJ, Evans S, Sinclair M, Carter CR, Imrie CW (1999) High early mortality rate from acute pancreatitis in Scotland, 1984–1995. Br J Surg 86:1302–1305

    Article  PubMed  CAS  Google Scholar 

  33. Kivilaakso E, Lempinen M, Makelainen A, Nikki P, Schroder T (1984) Pancreatic resection versus peritoneal lavation for acute fulminant pancreatitis. A randomized prospective study. Ann Surg 199:426–431

    Article  PubMed  CAS  Google Scholar 

  34. Schroder T, Sainio V, Kivisaari L, Puolakkainen P, Kivilaakso E, Lempinen M (1999) Pancreatic resection versus peritoneal lavage in acute necrotizing pancreatitis. A prospective randomized trial. Ann Surg 214:663–666

    Article  Google Scholar 

  35. Tsiotos GG, Luque-de LE, Sarr MG (1998) Long-term outcome of necrotizing pancreatitis treated by necrosectomy. Br J Surg 85:1650–1653

    Article  PubMed  CAS  Google Scholar 

  36. Beger HG (1991) Operative management of necrotizing pancreatitis — necrosectomy and continuous closed postoperative lavage of the lesser sac. Hepatogastroenterology 38:129–133

    PubMed  CAS  Google Scholar 

  37. Nordback I, Paajanen H, Sand J (1997) Prospective evaluation of a treatment protocol in patients with severe acute necrotising pancreatitis. Eur J Surg 163:357–364

    PubMed  CAS  Google Scholar 

  38. Tsiotos GG, Luque-de LE, Soreide JA, Bannon MP, Zietlow SP, Baerga-Varela Y, Sarr MG (1998) Management of necrotizing pancreatitis by repeated operative necrosectomy using a zipper technique. Am J Surg 175:91–98

    Article  PubMed  CAS  Google Scholar 

  39. Kalfarentzos FE, Kehagias J, Kakkos SK, Petsas T, Kokkinis K, Gogos CA, Androulakis JA (1999) Treatment of patients with severe acute necrotizing pancreatitis based on prospective evaluation. Hepatogastroenterology 46:3249–3256

    PubMed  CAS  Google Scholar 

  40. Beger HG, Buchler M, Bittner R, Block S, Nevalainen T, Roscher R (1988) Necrosectomy and postoperative local lavage in necrotizing pancreatitis. Br J Surg 75:207–212

    Article  PubMed  CAS  Google Scholar 

  41. vanSonnenberg E, Wittich GR, Chon KS, D’Agostino HB, Casola G, Easter D, Morgan RG, Walser EM, Nealon WH, Goodacre B, Stabile BE (1997) Percutaneous radiologic drainage of pancreatic abscesses. AJR Am J Roentgenol 168:979–984

    Google Scholar 

  42. Baril NB, Ralls PW, Wren SM, Selby RR, Radin R, Parekh D, Jabbour N, Stain SC (2000) Does an infected peripancreatic fluid collection or abscess mandate operation? Ann Surg 231:361–367

    Article  PubMed  CAS  Google Scholar 

  43. Lang EK, Paolini RM, Pottmeyer A (1991) The efficacy of palliative and definitive percutaneous versus surgical drainage of pancreatic abscesses and pseudocysts: a prospective study of 85 patients. South Med J 84:55–64

    PubMed  CAS  Google Scholar 

  44. Lee MJ, Rattner DW, Legemate DA, Saini S, Dawson SL, Hahn PF, Warshaw AL, Mueller PR (1992) Acute complicated pancreatitis: redefining the role of interventional radiology. Radiol 183:171–174

    CAS  Google Scholar 

  45. Srikanth G, Sikora SS, Baijal SS, Ayyagiri A, Kumar A, Saxena R, Kapoor VK (2002) Pancreatic abscess: 10 years experience. ANZ J Surg 72:881–886

    Article  PubMed  CAS  Google Scholar 

  46. Villazon A, Villazon O, Terrazas F, Rana R (1991) Retroperitoneal drainage in the management of the septic phase of severe acute pancreatitis. World J Surg 15:103–107

    Article  PubMed  CAS  Google Scholar 

  47. Wilson C, McArdle CS, Carter DC, Imrie CW (1988) Surgical treatment of acute necrotizing pancreatitis. Br J Surg 75:1119–1123

    Article  PubMed  CAS  Google Scholar 

  48. Pederzoli P, Bassi C, Vesentini S, Girelli R, Cavallini G, Falconi M, Nifosi F, Riela A, Dagradi A (1990) Retroperitoneal and peritoneal drainage and lavage in the treatment of severe necrotizing pancreatitis. Surg Gynecol Obstet 170:197–203

    PubMed  CAS  Google Scholar 

  49. Bradley EL III (1993) A fifteen year experience with open drainage for infected pancreatic necrosis. Surg Gynecol Obstet 177:215–222

    PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. Klinik und Poliklinik für Allgemein-, Viszeral- und Thoraxchirurgie, Univ.-Krankenhaus Eppendorf, Martinistraße 52, 20246, Hamburg, Germany

    O. Mann & E. Yekebas

  2. Chirurgischen Klinik Department of Surgery, University Hospital-Eppendorf, Martinistr. 52, 20246, Hamburg, Germany

    J. Izbicki

Authors
  1. O. Mann
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  2. T. Strate
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  3. E. Yekebas
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  4. J. Izbicki
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Editor information

Editors and Affiliations

  1. University of Ulm c/o University Hospital Ulm, Steinhoevelstraße 9, 89075, Ulm, Germany

    Hans G. Beger MD

  2. Department of Surgery I, Tohoku University, Medical School, 980-8574, Sendai, Japan

    Seiki Matsuno MD  & Makoto Sunamura MD, PhD  & 

  3. The Johns Hopkins University, 720 Rutland Avenue, Baltimore, MD, 21205-2196, USA

    John L. Cameron MD, PhD

  4. Department of General, Thoracic, Vascular and Transplantation Surgery, University of Rostock, Schillingallee 35, 18057, Rostock, Germany

    Bettina M. Rau MD

  5. The Sidney Kimmel Cancer Research Center, The Johns Hopkins Hospital, 1650 Orleans Street, Baltimore, MD, 21231-1000, USA

    Richard D. Schulick MD

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© 2008 Springer-Verlag Berlin Heidelberg

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Mann, O., Strate, T., Yekebas, E., Izbicki, J. (2008). Benefits and Limitations of Necrosectomy. In: Beger, H.G., Matsuno, S., Cameron, J.L., Rau, B.M., Sunamura, M., Schulick, R.D. (eds) Diseases of the Pancreas. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-28656-1_27

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  • DOI: https://doi.org/10.1007/978-3-540-28656-1_27

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-28655-4

  • Online ISBN: 978-3-540-28656-1

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