Year 2022 / Volume 114 / Number 11
Letter
Hybrid retroperitoneal necrosectomy using a triple-port approach under endoscopic guidance

694

DOI: 10.17235/reed.2022.9055/2022

Enrique Pérez-Cuadrado Robles, Emilia Ragot, Hadrien Alric, Alessandro Di Gaeta, Hédi Benosman, Christophe Cellier, Gabriel Rahmi,

Abstract
Complex walled-off necrosis with a retroperitoneal component represent a therapeutic challenge. Although mini-invasive approaches have been described, hybrid procedures combining surgical, endoscopic and radiological techniques have slightly been evaluated. A 58 years-old male presented with a 20-cm infected multilocular walled-off necrosis. First, endoscopic-ultrasound guided cystogastrostomy using a lumen-apposing metal stent with further necrosectomy was performed, but the access to distal retroperitoneal collection was average.
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References
1. Perez-Cuadrado Robles E, Perrod G, Rahmi G. Guessing the future of endoscopic drainage of walled-off necrosis. Rev Esp Enferm Dig. 2020;112:426-8.
2. Perez-Cuadrado-Robles E, Berger A, Perrod G, et al. Endoscopic treatment of walled-off pancreatic necrosis by simultaneous transgastric and retroperitoneal approaches. Endoscopy. 2020;52:E88-E9.
3. Lindgaard L, Lauritsen ML, Novovic S, et al. Simultaneous endoscopic and video-assisted retroperitoneal debridement in walled-off pancreatic necrosis using a laparoscopic access platform: Two case reports. World J Gastroenterol. 2022;28:588-93.
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Pérez-Cuadrado Robles E, Ragot E, Alric H, Di Gaeta A, Benosman H, Cellier C, et all. Hybrid retroperitoneal necrosectomy using a triple-port approach under endoscopic guidance. 9055/2022


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Publication history

Received: 04/07/2022

Accepted: 05/07/2022

Online First: 11/07/2022

Published: 07/11/2022

Article Online First time: 7 days

Article editing time: 126 days


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