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KMID : 0870419990030010079
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Korean Journal of Hepato-Biliary-Pancreatic Surgery
1999 Volume.3 No. 1 p.79 ~ p.85
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The Significance of Retroperitoneal Drainage for the Patients of Acute Infected Pancreatic Necrosis
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Park Jong-Hun
Yun Young-Kook
Hwang Yoon-Jin
Kim Yang-Il
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Abstract
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Background/Aims: To introduce and review the results of the different treatment modalities of infected pancreatic necrosis and abscess that have been used during a 1-year period. As well, to assess the technique and indications of retroperitoneal drainage that is selectively performed for the management of peripancreatic necrosis because of the problem of intraperitoneal drainage.
Methods: Five patients with infected pancreatic necrosis or abscess were operated on from July 1997 to June 1998. Two undrewent surgical necrosectomy and retroperitoneal drainage and 3 had a classical procedure of multiple intraperitoneal drainage after necrosectomy.
Results: Two of 5 patients that had retroperitoneal drainage performed were successful of wide ranging necrosectomy of retroperitoneal necrosis or abscess through one drainage site and the left flank, resulting in a decreased rate of intraperitoneal contamination, discomfort and disability.
Conclusion: The advantages of retroperitoneal drainage for wide ranging retroperitoneal pancreatic necrosis are made possible by draining the retroperitoneal route from the retroperitoneal cavity to the same retroperitoneal external opening. The use of retroperitoneal drainage seemed to be a significant factor for improvement by providing a reliable drainage of retropancreatic areas and by avoiding the opening of the peritoneal cavity
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KEYWORD
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Infected pancreatic necrosis, Retroperitoneal drainage
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