Abstract
Background: In 2010 the PANTER trial demonstrated that a minimally invasive step-up approach was safe and effective for necrotizing pancreatitis. Furthermore, a retrospective validation study for the treatment of necrotizing pancreatitis by Pickens, et al at Atrium Health in North Carolina, showed comparative outcomes for a laparoscopic and robotic approach. A hepatopancreaticobiliary (HPB) program was started in 2017 at a level 1 trauma center community teaching hospital (COMH). Currently, a single surgeon performs 60-70 HPB cases per year with 50% being robotic. We aim to compare the COMH robotic transgastric necrosectomy with cystogastrostomy results to those of a high volume HPB center.
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