HIGHLIGHTS
SUMMARY
Management techniques with surgical pancreatic necrosectomy (SPN) have evolved from early open necrosectomy towards delayed, minimally invasive approaches such as non-surgeon-performed endoscopic transgastric debridement, radiologist-performed percutaneous drainage, and surgeon-performed minimally invasive surgical approaches, such as video-assisted retroperitoneal debridement (VARD). A 1998-2010 Nationwide Inpatient Sample study of SPN including 1798 cases reported a mortality of 15% and a decreasing annual rate of necrosectomies performed. A later 2007-2012 ACS-NSQIP study of 1156 surgical necrosectomies indicated that mortality was 9.5%, with the modified Frailty Index (mFI) being a . . .
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