Infected pancreatic necrosis -: Translumbar approach and management with retroperitoneoscopy

Hypothesis: The extraperitoneal translumbar approach and retroperitoneoscopy are useful in the treatment and follow-up of patients with infected pancreatic necrosis. Design: Descriptive study. Setting: University hospital. Patients: Fifteen consecutive patients with infected and drained pancreatic necrosis. Interventions: Extraperitoneal translumbar approach to drain and retroperitoneoscopy as a method to propose evolutive control. Main Outcome Measures: Morbidity and mortality. Results: Four (27%) of 15 patients died, and 3 (20%) of 15 patients experienced complications during hospital admission. Conclusions: The retroperitoneal access to infected pancreatic necrosis has low rates of mortality and morbidity and a low percentage of repeated surgeries, and retroperitoneoscopy facilitates evolutive control of treated infected pancreatic necrosis.