Laparoscopic approach of acute pancreatitis collections: a serie of cases
EAES Academy. Mois E. 07/05/22; 363068; P113
Emil Ioan Mois
Contributions
Contributions
Abstract
Laparoscopic approach in acute pancreatitis collections: a serie of cases
Aim: Acute pancreatitis (AP) represents the main cause for over 50% of all hospital admissions for pancreatic disease and it is known as one of the most unpredictable affections of the digestive system. Moderate severe or severe pancreatitis occurs in about 15-20% of patients who can further develop local (necrosis) or general complications. Pancreatic or peripancreatic necrosis can become over-infected, which is responsible for a high mortality rate. These collections can be managed by minimally invasive techniques as percutaneous, endoscopic or laparoscopic dreinage.
The purpose of this presentation is to point out favourable outcomes of a laparoscopic approach in collections due to AP.
Methods:
We present a serie of 5 cases of acute pancreatitis, mostly of associated with pancreatic or peripancreatic over-infected collections which presented to the Regional Institute of Gastroneterology and Hepatology Cluj-Napoca, Romania, between 2019-2021. All of these cases were managed through a laparoscopic approach.
Result:
The AP can be often caused by gallstone migrations or can be determined by alchohol abuse. In these particular cases the prevalent etiology was the biliary lithiasis. However, there is one case of AP with undefined etiology.
Conclusions:
Effective management of AP is crucial and requires accurate diagnosis and treatment. These cases sustain the fact that a minimally invasive step-up approach is superior to primary open surgery for peripancreatic fluid collections.
Aim: Acute pancreatitis (AP) represents the main cause for over 50% of all hospital admissions for pancreatic disease and it is known as one of the most unpredictable affections of the digestive system. Moderate severe or severe pancreatitis occurs in about 15-20% of patients who can further develop local (necrosis) or general complications. Pancreatic or peripancreatic necrosis can become over-infected, which is responsible for a high mortality rate. These collections can be managed by minimally invasive techniques as percutaneous, endoscopic or laparoscopic dreinage.
The purpose of this presentation is to point out favourable outcomes of a laparoscopic approach in collections due to AP.
Methods:
We present a serie of 5 cases of acute pancreatitis, mostly of associated with pancreatic or peripancreatic over-infected collections which presented to the Regional Institute of Gastroneterology and Hepatology Cluj-Napoca, Romania, between 2019-2021. All of these cases were managed through a laparoscopic approach.
Result:
The AP can be often caused by gallstone migrations or can be determined by alchohol abuse. In these particular cases the prevalent etiology was the biliary lithiasis. However, there is one case of AP with undefined etiology.
Conclusions:
Effective management of AP is crucial and requires accurate diagnosis and treatment. These cases sustain the fact that a minimally invasive step-up approach is superior to primary open surgery for peripancreatic fluid collections.
Laparoscopic approach in acute pancreatitis collections: a serie of cases
Aim: Acute pancreatitis (AP) represents the main cause for over 50% of all hospital admissions for pancreatic disease and it is known as one of the most unpredictable affections of the digestive system. Moderate severe or severe pancreatitis occurs in about 15-20% of patients who can further develop local (necrosis) or general complications. Pancreatic or peripancreatic necrosis can become over-infected, which is responsible for a high mortality rate. These collections can be managed by minimally invasive techniques as percutaneous, endoscopic or laparoscopic dreinage.
The purpose of this presentation is to point out favourable outcomes of a laparoscopic approach in collections due to AP.
Methods:
We present a serie of 5 cases of acute pancreatitis, mostly of associated with pancreatic or peripancreatic over-infected collections which presented to the Regional Institute of Gastroneterology and Hepatology Cluj-Napoca, Romania, between 2019-2021. All of these cases were managed through a laparoscopic approach.
Result:
The AP can be often caused by gallstone migrations or can be determined by alchohol abuse. In these particular cases the prevalent etiology was the biliary lithiasis. However, there is one case of AP with undefined etiology.
Conclusions:
Effective management of AP is crucial and requires accurate diagnosis and treatment. These cases sustain the fact that a minimally invasive step-up approach is superior to primary open surgery for peripancreatic fluid collections.
Aim: Acute pancreatitis (AP) represents the main cause for over 50% of all hospital admissions for pancreatic disease and it is known as one of the most unpredictable affections of the digestive system. Moderate severe or severe pancreatitis occurs in about 15-20% of patients who can further develop local (necrosis) or general complications. Pancreatic or peripancreatic necrosis can become over-infected, which is responsible for a high mortality rate. These collections can be managed by minimally invasive techniques as percutaneous, endoscopic or laparoscopic dreinage.
The purpose of this presentation is to point out favourable outcomes of a laparoscopic approach in collections due to AP.
Methods:
We present a serie of 5 cases of acute pancreatitis, mostly of associated with pancreatic or peripancreatic over-infected collections which presented to the Regional Institute of Gastroneterology and Hepatology Cluj-Napoca, Romania, between 2019-2021. All of these cases were managed through a laparoscopic approach.
Result:
The AP can be often caused by gallstone migrations or can be determined by alchohol abuse. In these particular cases the prevalent etiology was the biliary lithiasis. However, there is one case of AP with undefined etiology.
Conclusions:
Effective management of AP is crucial and requires accurate diagnosis and treatment. These cases sustain the fact that a minimally invasive step-up approach is superior to primary open surgery for peripancreatic fluid collections.
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