Abstract

NATANIEL, Claros; RAMIRO, Pinilla; BELIDO, Marco  and  CARLOS, Manterola. Video assisted retroperitoneal debridement: a new surgical technique for an old pathology, severeacute pancreatitis clinical case presentation. Cuad. - Hosp. Clín. [online]. 2023, vol.64, n.2, pp.52-58. ISSN 1562-6776.

Abstract Background: Video-Assisted retroperitoneal debridement (VARD) is a minimally invasive technique used for the treatment of infected necrotizing pancreatitis. Material and methods: Case Report. Results: A case of severe necrotizing pancreatitis is presented in a 43 years old female patient, with 5 days clinical evolution with spasmodic abdominal pain in epigastrium and right hypochondrium of moderate intensity, irradiated to both flanks in belt. The patient received private care in two centers upon the admission in our hospital. In the laboratory at the admission, she showed leukocytosis and left deviation, high level in amylase and lipase. Contrasted enhanced tomography and guided punctures were realized and VARD were considered when evidence of wall of necrosis was observed in scanner. The surgical technique is described. Suddenly the patient presented acute respiratory failure with massive pulmonary thromboembolism and died. Conclusion: Under the step-up approach vision, the video-assisted retroperitoneal debridement is gaining popularity in the management of the acute necrotizing pancreatitis

Keywords : Severe acute Pancreatitis; Video assisted Retroperitoneal Debridement.

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