Pancreatitis Clinical Trial
Official title:
Dual-scopic Pancreatic Necrosectomy (DPN): Laparoscopic Pancreatic Necrosectomy (LPN) and Nephroscopic Pancreatic Necrosectomy (NPN)
The LPN procedure is performed under general anesthesia. The transperitoneal access to
peripancreatic space is via the gastro-colic ligament and greater omentum, effusion and pus
is removed by laparoscopic forceps and suction. Laparoscopic cholecystectomy (LC) is
performed during the LPN procedure on patients with indication.
The NPN procedure is followed by the standard retroperitoneal approach. After the catheter is
exchanged over a guide wire and serially dilated up from 6F to 24F followed by Seldinger
technique, the access track to the necrotic cavity is established. A nephroscope is inserted
into the cavity through the track for debridement. Using forceps and suction, the
peripancreatic solid necrotic tissue and pus is grasped and removed. A large-bore irrigating
drain is left in the cavity, with continuous irrigation by warm normal saline solution at a
rate of 100-125 ml/h after surgery.
n/a
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