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- W2009768022 abstract "Background: Minimally invasive procedures (MIP) in infected necrotizing pancreatitis (INP) are gaining popularity. It is however unknown in what proportion of patients collections are accessible to MIP. Methods: From a group of 106 consecutive patients, operated on for INP between 2000 and 2003 in 11 Dutch hospitals, available preoperative computer tomographic (CT) scans were retrospectively reviewed. The (peri-) pancreatic collections were classified according to their distance from the (left) abdominal wall. Five radiologists judged 'accessibility' for drain placement and 'drainability' of the collections. The agreement between radiologists was determined. Results: CT-scans of 80 patients (75%) were available (59 male, age 29-80 years). The median interval between hospital admission and the preoperative CT-scan was 20 days. In 55 patients (69%) the collection's lateral border was <5 cm of the left abdominal wall. Placement of a drain was deemed feasible in 67 patients (84%, range 77-89%, Kappa 0.428, SD 0.096). In 45 patients (56%) a drain could be placed through the left retroperitoneum. In 43 patients (54%, range 49-82%) collections were judged to contain a drainable fluid component. Interobserver agreement on 'drainability' was poor (Kappa 0.289, SD 0.101). Conclusion: The vast majority of (peri-)pancreatic collections in INP are accessible to MIP." @default.
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- W2009768022 date "2006-11-01" @default.
- W2009768022 modified "2023-10-18" @default.
- W2009768022 title "FEASIBILITY OF MINIMALLY INVASIVE APPROACH IN PATIENTS WITH INFECTED NECROTIZING PANCREATITIS" @default.
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- W2009768022 doi "https://doi.org/10.1097/00006676-200611000-00039" @default.
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