The Effect of an Invasive Strategy for Treating Pancreatic Necrosis on Mortality: a Retrospective Multicenter Cohort Study.
Kazuhiro MinamiMasayasu HoribeMasamitsu SanuiMitsuhito SasakiEisuke IwasakiHirotaka SawanoTakashi GotoTsukasa IkeuraTsuyoshi TakedaTakuya OdaHideto YasudaYuki OguraDai MiyazakiKatsuya KitamuraNobutaka ChibaTetsu OzakiTakahiro YamashitaToshitaka KoinumaTaku OshimaTomonori YamamotoMorihisa HirotaNatsuko TokuhiraYoshinori AzumiKeiji NagataKazunori TakedaTomoki FuruyaAlan Kawarai LeforToshihiko MayumiTakanori KanaiPublished in: Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract (2019)
In patients with acute pancreatitis and infected ANC/WON, age and revised Atlanta criteria-severe classification are significantly associated with mortality whereas open necrosectomy is not. The mortality risk for patients undergoing open necrosectomy and minimally invasive treatment does not differ significantly. Although minimally invasive surgery is generally preferred for patients with infected ANC/WON, open necrosectomy may be considered if clinically indicated.