Copyright
©2014 Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Dec 16, 2014; 2(12): 840-845
Published online Dec 16, 2014. doi: 10.12998/wjcc.v2.i12.840
Published online Dec 16, 2014. doi: 10.12998/wjcc.v2.i12.840
Acute necrotizing pancreatitis: Surgical indications and technical procedures
José Manuel Aranda-Narváez, Antonio Jesús González-Sánchez, María Custodia Montiel-Casado, Alberto Titos-García, Julio Santoyo-Santoyo, General, Digestive and Transplantation Surgery Department, University Regional Hospital, 29010 Málaga, Spain
Author contributions: All authors contributed to this manuscript.
Correspondence to: José Manuel Aranda Narváez, MD, PhD, Professor of Surgery, General, Digestive and Transplantation Surgery Department, University Regional Hospital, Carlos Haya Av s/n, 29010 Málaga, Spain. josearanda68@telefonica.net
Telephone: +34-60-7544071
Received: July 4, 2014
Revised: October 7, 2014
Accepted: October 23, 2014
Published online: December 16, 2014
Revised: October 7, 2014
Accepted: October 23, 2014
Published online: December 16, 2014
Core Tip
Core tip: We have recently assisted to a significant change in surgical approach to acute pancreatitis. Infection continues as the most important pillar where surgical indication is established. Nevertheless, from an early consideration for surgery frequently performed by classical open approach, today we have moved to delay the indication and the procedure as much as possible with step-up philosophies trying to deal with “walled-off” necrosis and considering minimally invasive access like video-assisted retroperitoneal or endoscopic. In this paper, most recent therapeutic trends for acute necrotizing pancreatitis are reviewed.