Abstract
In recent years the incidence of acute pancreatitis has increased worldwide. Some of 85% of all patients with acute pancreatitis will recover fast, but in 15% a necrosis of the pancreatic or extra pancreatic tissue will be developed. Two minimally invasive surgical techniques have gained wide spread acceptance: minimal access retroperitoneal necrosectomy( MARPN) and video assisted retroperitoneal debridement(VARD) We present a case of a patient with a huge infected pancreatic pseudo cyst occupying almost the entire abdominal cavity in which a video assisted retroperitoneal debridement was performed. MARPN and VARD are relatively simple and costless procedures which can be performed by a gastrointestinal surgeon with basic laparoscopic or endoscopic skills.
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