Case Report
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Feb 7, 2022; 28(5): 588-593
Published online Feb 7, 2022. doi: 10.3748/wjg.v28.i5.588
Simultaneous endoscopic and video-assisted retroperitoneal debridement in walled-off pancreatic necrosis using a laparoscopic access platform: Two case reports
Lars Lindgaard, Morten Laksáfoss Lauritsen, Srdan Novovic, Erik Feldager Hansen, John Gásdal Karstensen, Palle Nordblad Schmidt
Lars Lindgaard, Morten Laksáfoss Lauritsen, Srdan Novovic, Erik Feldager Hansen, John Gásdal Karstensen, Palle Nordblad Schmidt, Pancreatitis Centre East (PACE), Gastro Unit,Copenhagen University Hospital–Amager and Hvidovre, Hvidovre 2650, Capital Region, Denmark
Morten Laksáfoss Lauritsen, Srdan Novovic, John Gásdal Karstensen, Department of Clinical Medicine, University of Copenhagen, Copenhagen 2100, Capital Region, Denmark
Author contributions: Lindgaard L, Novovic S, Hansen EF, and Schmidt PN designed the study; Lindgaard L and Schmidt PN drafted the manuscript; Karstensen JG edited the manuscript; all authors critically revised the manuscript and approved the final content.
Informed consent statement: Written informed consent was obtained from the patients for publication of their case details and accompanying images.
Conflict-of-interest statement: We declare no conflict of interests.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See:
Corresponding author: John Gásdal Karstensen, MD, PhD, Associate Professor, Chief Physician, Surgeon, Pancreatitis Centre East (PACE), Gastro Unit, Copenhagen University Hospital–Amager and Hvidovre, Kettegård Alle 30, Hvidovre 2650, Capital Region, Denmark.
Received: March 4, 2021
Peer-review started: March 4, 2021
First decision: May 1, 2021
Revised: May 3, 2021
Accepted: December 28, 2021
Article in press: December 28, 2021
Published online: February 7, 2022
Core Tip

Core Tip: Infected walled-off necrosis is a potentially life-threatening complication of necrotizing pancreatitis. In cases with large or complex walled-off necrosis, treatment combining endoscopic, transluminal and percutaneous video-assisted retroperitoneal debridement may be needed. We report on two patients who underwent a combination of endoscopic and percutaneous drainage and necrosectomy for their large, infected walled-off necroses. Furthermore, we introduce a laparoscopic access platform as a useful adjunctive to endoscopic necrosectomy and video-assisted retroperitoneal debridement.