Korean J Hepatobiliary Pancreat Surg.  1999 Feb;3(1):79-85.

The Significance of Retroperitoneal Drainage for the Patients of Acute Infected Pancreatic Necrosis

• Park J
• Yun Y
• Hwang Y
• Kim Y

Abstract

BACKGROUND/AIMS: To introduce and review the results of the different treatment modalities of infected pancreatic necrosis and abscess that have been used during a 1-year period. As well, to assess the technique and indications of retroperitoneal drainage that is selectively performed for the management of peripancreatic necrosis because of the problem of intraperitoneal drainage.
METHODS
Five patients with infected pancreatic necrosis or abscess were operated on from July 1997 to June 1998. Two undrewent surgical necrosectomy and retroperitoneal drainage and 3 had a classical procedure of multiple intraperitoneal drainage after necrosectomy.
RESULTS
Two of 5 patients that had retroperitoneal drainage performed were successful of wide ranging necrosectomy of retroperitoneal necrosis or abscess through one drainage site and the left flank, resulting in a decreased rate of intraperitoneal contamination, discomfort and disability.
CONCLUSION
The advantages of retroperitoneal drainage for wide ranging retroperitoneal pancreatic necrosis are made possible by draining the retroperitoneal route from the retroperitoneal cavity to the same retroperitoneal external opening. The use of retroperitoneal drainage seemed to be a significant factor for improvement by providing a reliable drainage of retropancreatic areas and by avoiding the opening of the peritoneal cavity

Keyword

Infected pancreatic necrosis; Retroperitoneal drainage

MeSH Terms

Abscess
Drainage*
Humans
Necrosis*
Peritoneal Cavity