Table 5 Situations in which open necrosectomy is a valid option for treatment of infected pancreatic necrosis
From: Open necrosectomy in acute pancreatitis–obsolete or still useful?
Treatment failure or complication (e.g., persistent bleeding after attempted endovascular treatment) after step-up management procedure | |
Bowel ischemia or perforation (suspected/verified) due to necrosis | |
Ongoing open abdomen with simultaneous indication for necrosectomy | |
Disconnected left pancreatic remnant fueling the disease | |
Insufficient experience or equipment for mini-invasive necrosectomy | |
Biliary pancreatitis with simultaneous need for cholecystectomy | |
Anatomically widespread necrosis |