Pancreatic necrosectomy
Necrosectomy procedures are performed in patients with severe acute pancreatitis and infected necrosis. To date, necrosectomy is used a last resort, after failure of less invasive techniques (such as percutaneous drainage of pancreatic necrosis). This “step-up” approach has proven to be superior to the “step-down” approach in which open necrosectomy plays a primary role, with less invasive methods used for residual or subsequent collections.
