Laparoscopic combined with percutaneous nephroscopic necrosectomy for peripancreatic abscesses: a report of 8 cases

Abstract

Objective To study the effect of combined laparoscopic and percutaneous nephroscopic necrosectomy in the treatment of peripancreatic abscesses. Methods The clinical data of 8 patients with peripancreatic abscesses treated by combined laparoscopic and percutaneous nephroscopic necrosectomy in our hospital from June 2015 to June 2017 were retrospectively analyzed. Results 8 patients were treated with percutaneous puncture and drainage under Ultrasonic / Computed Tomography guidance. Combined laparoscopic and percutaneous nephroscopic necrosectomy was then carried out. Two patients underwent percutaneous nephroscopic surgery twice and laparoscopic surgery once, and 3 patients underwent percutaneous nephroscopic surgery thrice, and 3 patients underwent percutaneous nephroscopic surgery 4 times and laparoscopic surgery once. One patient after percutaneous nephroscopic necrosectomy was complicated with sinus tract hemorrhage, which was treated by haemostasis through a small incision. Two patients who developed postoperative colonic fistula were treated successfully by conservative treatment. The average length of hospital stay was 80 d (60~153 d), and there was no death. Conclusion Combined laparoscopic and percutaneous nephroscopic necrosectomy was a minimally invasive and efficacious method to treat peripancreatic abscesses. Key words: Pancreas abscess; Pancreatitis, infected necrotizing; Laparoscopy; Percutaneous nephroscopy; Necrosectomy