Minimal access necrosectomy improves outcomes for infected pancreatic necrosis

A study analyzing 400 patients revealed that minimal access retroperitoneal pancreatic necrosectomy significantly improves outcomes for those with infected pancreatic necrosis. Compared to open necrosectomy, this method reduced rates of gastrointestinal fistula (13.5% vs. 30%), mortality (18% vs. 37.5%), and major complications (35.9% vs. 57.5%). Over a decade, its application grew, demonstrating fewer conversions to open surgery compared to traditional methods. These findings emphasize the method’s efficacy and safety in enhancing patient prognosis.