Chapter 29. Surgical Management of Necrotizing Pancreatitis

  1. Hans G. Beger MD, FACS(Hon) Founding Editor Emeritus Professor of Surgery4,
  2. Andrew L. Warshaw MD Surgeon-in-Chief Chairman5,6,
  3. Markus W. Büchler MD Chairman Head Professor of Surgery7,
  4. Richard A. Kozarek MD Director8,
  5. Markus M. Lerch MD, FRCP Professor Chair9,
  6. John P. Neoptolemos MA, MB, BChir, MD, FRCS, FMedSci Head Professor of Surgery10,11,12,
  7. Keiko Shiratori MD Chair Professor13,
  8. David C. Whitcomb MD, PhD Professor of Medicine Chief14 and
  9. Bettina M. Rau MD Coordinating Editor Associate Professor of Surgery15
  1. Bettina M. Rau MD Coordinating Editor Associate Professor of Surgery15,
  2. Hans G. Beger MD, FACS(Hon) Founding Editor Emeritus Professor of Surgery4,
  3. Raymond Aerts MD1,
  4. Freddy M. Penninckx MD, PhD Professor Chairman1,
  5. J. Rubén Rodríguez MD, MMSC Clinical and Research Fellow in Surgery Resident in General Surgery2,3,
  6. Carlos Fernández-del Castillo MD Associate Professor of Surgery Associate Visiting Surgeon2,3 and
  7. Andrew L. Warshaw MD Surgeon-in-Chief Chairman5,6

Published Online: 4 FEB 2009

DOI: 10.1002/9781444300123.ch29

The Pancreas: An Integrated Textbook of Basic Science, Medicine, and Surgery, Second Edition

The Pancreas: An Integrated Textbook of Basic Science, Medicine, and Surgery, Second Edition

How to Cite

Rau, B. M., Beger, H. G., Aerts, R., Penninckx, F. M., Rodríguez, J. R., Fernández-del Castillo, C. and Warshaw, A. L. (2008) Surgical Management of Necrotizing Pancreatitis, in The Pancreas: An Integrated Textbook of Basic Science, Medicine, and Surgery, Second Edition (eds H. G. Beger, A. L. Warshaw, M. W. Büchler, R. A. Kozarek, M. M. Lerch, J. P. Neoptolemos, K. Shiratori, D. C. Whitcomb and B. M. Rau), Blackwell Publishing Ltd., Oxford, UK. doi: 10.1002/9781444300123.ch29

Editor Information

  1. 4

    c/o Universitätsklinikum Ulm, University of Ulm, Germany

  2. 5

    Department of Surgery, Massachusetts General Hospital, Boston, MA, USA

  3. 6

    W. Gerald Austen Professor of Surgery, Harvard Medical School, Boston, MA, USA

  4. 7

    Department of General and Visceral Surgery, University of Heidelberg, Germany

  5. 8

    Digestive Disease Institute, Virginia Mason Medical Center, Seattle, WA, USA

  6. 9

    Department of Gastroenterology, Endocrinology and Nutrition, Ernst-Moritz-Arndt University, Greifswald, Germany

  7. 10

    The Owen and Ellen Evans Chair of Cancer Studies, University of Liverpool, UK

  8. 11

    Division of Surgery and Oncology, University of Liverpool, UK

  9. 12

    School of Cancer Studies, University of Liverpool, UK

  10. 13

    Department of Gastroenterology, Tokyo Women's Medical University School of Medicine, Tokyo, Japan

  11. 14

    Division of Gastroenterology, Hepatology and Nutrition, University of Pittsburgh, PA, USA

  12. 15

    Department of General, Thoracic, Vascular and Transplantation Surgery, University of Rostock, Germany

Author Information

  1. 1

    Department of Abdominal Surgery, University Clinics, Gasthuisberg, Catholic University, Leuven, Belgium

  2. 2

    Harvard Medical School, Boston, MA, USA

  3. 3

    Massachusetts General Hospital, Boston, MA, USA

  4. 4

    c/o Universitätsklinikum Ulm, University of Ulm, Germany

  5. 5

    Department of Surgery, Massachusetts General Hospital, Boston, MA, USA

  6. 6

    W. Gerald Austen Professor of Surgery, Harvard Medical School, Boston, MA, USA

  7. 15

    Department of General, Thoracic, Vascular and Transplantation Surgery, University of Rostock, Germany

Publication History

  1. Published Online: 4 FEB 2009
  2. Published Print: 11 APR 2008

ISBN Information

Print ISBN: 9781405146647

Online ISBN: 9781444300123

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Keywords:

  • necrotizing pancreatitis and surgical management;
  • débridement and continuous closed lavage;
  • necrosectomy and débridement;
  • necrosectomy timing and closed lavage;
  • concept of necrosectomy;
  • mechanical “flow-through” technique;
  • relaparotomy and recurrent systemic sepsis

Summary

This chapter contains sections titled:

  • Débridement and continuous closed lavage

  • Débridement and open packing/staged laparotomy

  • Débridement and closed packing

  • References