Ahsen Nazir Ahmed, Muhammad Saad Faisal, Muhammad Adnan Khan.
Minimal surgical intervention in infected necrotizing pancreatitis: an experience of laparoscopic pancreatic necrosectomy.
J Sharif Med Dent Coll Jan ;1(1):39-41.
A 30 years old female presented with a few days history of severe upper abdominal pain, jaundice, fever, tachycardia, dehydration and respiratory discomfort. She had past history of acute cholecystitis. On laboratory and radiological investigations, a diagnosis of infected pancreatic necrosis was established and surgery was planned for management of this condition. Laparoscopic pancreatic necrosectomy was performed successfully in this patient by approaching pancreas through gastrocolic ligament for debridement of necrotic tissue at its tail. Peritoneal lavage and drainage was performed by putting drains in lesser sac and pelvic cavity. After this laparoscopic surgery, patient showed tremendous recovery. Later on, laparoscopic cholecystectomy were performed in her follow up period. Key words: Infected pancreatic necrosis. Laparoscopic pancreatic necrosectomy. Lesser sac. Gastrocolic ligament.
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