Usefulness of three-dimensional visualization technology in minimally invasive treatment for infected necrotizing pancreatitis

Wang, Pengfei; Liu, Zhi-wei; Cai, Shouwang; Su, Jun-Jun; He, Lei; Feng, Jian; Xin, Xianlei; Lu, Shichun

doi:10.3748/wjg.v24.i17.1911

Cited by 6 publications

(5 citation statements)

References 22 publications

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“…If there was extensive pancreatic/peripancreatic necrosis, multiple drains were placed during the first procedure. Finally, based on the percutaneous catheter drainage route and number of drains, the range of debridement was assessed using a two‐dimensional picture archiving and communication system (PACS) or a three‐dimensional virtual system. If there was an area in the necrotic cavity not visible by nephroscopy, percutaneous catheter drainage planning was revised to achieve complete removal of infected necrosis.…”

Section: Methodsmentioning

confidence: 99%

Minimal-access retroperitoneal pancreatic necrosectomy for infected necrotizing pancreatitis: a multicentre study of a step-up approach

Liu¹,

Yang

Wang³

et al. 2020

British Journal of Surgery

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Background Various minimally invasive approaches have been described for infected necrotizing pancreatitis. This article describes a modified minimal‐access retroperitoneal pancreatic necrosectomy (MARPN) procedure assisted by gas insufflation. Methods This retrospective, observational study documented patients who had undergone a step‐up MARPN between 1 January 2010 and 31 December 2016. A minimum follow‐up of 1 year was required for inclusion. The step‐up approach involved percutaneous catheter drainage followed by the modified MARPN and necrosectomy. If more than one access site was needed it was categorized as complex MARPN. Results Of 212 patients with infected necrotizing pancreatitis, 164 (77·4 per cent) underwent a step‐up approach. The median number of percutaneous catheter drains and MARPN procedures was 3 (range 1–7) and 1 (1–6) respectively. Ninety patients (54·9 per cent) underwent complex MARPN. For residual necrosis after MARPN, three patients (1·8 per cent) underwent sinus tract gastroscopy, and 11 (6·7 per cent) had sinography combined with a tube change. However, operations in 13 patients (7·9 per cent) required conversion to open surgery. Postoperative complications developed in 103 patients (62·8 per cent). The mortality rate was 6·1 per cent (10 deaths). Conclusion A step‐up approach using a modified MARPN for infected necrotizing pancreatitis is a reasonable option.

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Section: Methodsmentioning

confidence: 99%

Minimal-access retroperitoneal pancreatic necrosectomy for infected necrotizing pancreatitis: a multicentre study of a step-up approach

Liu¹,

Yang

Wang³

et al. 2020

British Journal of Surgery

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“…В одном из первых сообщении о применении MARPN специалистами из Глазго показано, что данная методика была использована у 14 больных с инфицированным панкреонекрозом, умерли двое (14,3%) пациентов [19]. В другом исследовании Пекинских авторов, также обобщающий небольшую серию из 18 пациентов с инфицированным панкреонекрозом, все больные были вылечены с помощью MARPN без осложнений и летальных исходов [20]. В более крупной серии исследования из Ливерпуля, включающий 394 пациентов с панкреонекрозом (77,7% инфицированных) летальность была ниже у больных, подвергнутых MARPN (15,3 - 19%), по сравнению с лицами, получавшими открытую панкреонекрозэктомию (23,3 - 38%) [21].…”

Section: открытая некрэктомия поджелудочной железыunclassified

Modern approaches to surgical treatment of destructive pancreatitis

Ризаев¹,

Шукуров²,

Саттаров³

2023

TBEM

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Панкреонекроз диагностируется примерно у 20% пациентов с острым панкреатитом (ОП), при этом у 30 - 70% из них развивается инфицирование панкреонекроза, что приводит к увеличению показателя летальности до 20 - 30%. Получают широкое распространение миниинвазивные методы хирургического лечения деструктивного панкреатита, среди которых наибольший интерес представляет ретроперитонеальный доступ к зоне панкреонекроза, который рассматривается в настоящее время как новый стандарт лечения ОП. Активно внедряются методы трансмуральной и чрескожной эндоскопической некрэктомии при панкреонекрозах.

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“…В ретроспективном исследовании P. F. Wang и соавт. (2018) продемонстрировано, что технология 3D-визуализации позволяет выбрать оптимальный вариант установки дренажей (количество дренажей и точки их установки) у пациентов с инфицированным некротизирующим панкреатитом, а также значительно повышает эффективность некрэктомии через ригидный нефроскоп [43]. При этом операция занимает около 102 (102±20,7) мин.…”

Section: Objectiveunclassified

The role of 3D modeling in pancreas surgery: a review

Kudashkina,

Kamyshanskaya,

Cheremisin

et al. 2023

Lučevaâ diagn. ter.

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INTRODUCTION: Surgical interventions on the pancreas are technically complex and are accompanied by a fairly large number of complications, which is largely due to the variant anatomy of the pancreas.OBJECTIVE: The aim of this paper is to evaluate the possibilities of 3D modeling in the surgical treatment of pancreatic diseases according to the literature.MATERIALS AND METHODS: Literature searched in Russian and English for the period from 2017 to 2022 in Medline/PubMed, RSCI/Elibrary, CyberLeninka, Google Scholar databases. The search was conducted on the keywords: pancreas, chronic pancreatitis, pancreatic cancer, pancreatic resection, computed tomography, 3-D modeling, 3-D reconstruction, surgical planning, surgical intervention, pancreas, chronic pancreatitis, pancreas cancer, pancreatectomy, computed tomography, 3-D modeling, 3D reconstruction, surgical planning.RESULTS: 49 publications on various aspects of the use of 3D modeling in pancreatic surgery were included in the final analysis. The diagnostic value of building three-dimensional models in assessing the resectability of pancreatic tumors, identifying individual topographic and anatomical features of the pancreatobiliary zone, which should be taken into account during surgery to avoid intra- and postoperative complications, is shown. Examples of a description based on 3D modeling of rare vascular anomalies and cysts that are not visualized according to standard computed tomography in patients who are scheduled for pancreatic surgery are presented. The importance of postoperative 3D modeling of the pancreas for assessing the adequacy of the surgical intervention and early detection of possible complications of the operation is indicated.CONCLUSION: 3D modeling is an innovative and promising diagnostic method that allows increasing the information content of standard computed tomography in pancreatic surgery. 3D models make it possible to select patients for pancreatic resection and substantiate the most optimal surgical strategy. In the future, we should expect an improvement in the results of surgical treatment of pancreatic tumors and complicated pancreatitis.

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Usefulness of three-dimensional visualization technology in minimally invasive treatment for infected necrotizing pancreatitis

Cited by 6 publications

References 22 publications

Minimal-access retroperitoneal pancreatic necrosectomy for infected necrotizing pancreatitis: a multicentre study of a step-up approach

Minimal-access retroperitoneal pancreatic necrosectomy for infected necrotizing pancreatitis: a multicentre study of a step-up approach

Modern approaches to surgical treatment of destructive pancreatitis

The role of 3D modeling in pancreas surgery: a review

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