Laparoscopic Pancreatic Necrosectomy and Cyst-Jejunostomy
Saboor Kahn*, Michael L. Kendrick
Mayo Clinic, Rochester, MN
Delayed treatment of pancreatic necrosis with pseudocyst has been described using endoscopic, “open” and laparoscopic approaches. Surgical management allows a definitive debridement with a single procedure. In this video, we present an 80 year-old gentleman with symptomatic pancreatic necrosis with pseudocyst, 5 months after his initial attack of acute necrotizing pancreatitis. Patient selection, procedure options, and the technical aspects of a laparoscopic trans-mesocolic necrosectomy with loop cyst-jejunostomy drainage is demonstrated.
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