{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,19]],"date-time":"2026-02-19T12:25:59Z","timestamp":1771503959103,"version":"3.50.1"},"reference-count":20,"publisher":"Springer Science and Business Media LLC","issue":"11","license":[{"start":{"date-parts":[[2024,10,4]],"date-time":"2024-10-04T00:00:00Z","timestamp":1728000000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,10,4]],"date-time":"2024-10-04T00:00:00Z","timestamp":1728000000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100001774","name":"University of Sydney","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100001774","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Surg Endosc"],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Minimally invasive surgical necrosectomy plays an important role in the management of infected pancreatic necrosis, with a goal of removing debris and debriding necrotic tissue. Pulse lavage is designed to simultaneously hydrostatically debride and remove the infected necrotic tissue with suction. It is also able to remove significant amounts of debris without traumatic manipulation of the necrotic tissue which may be adherent to surrounding tissue and can result in injury.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods and results<\/jats:title>\n                <jats:p>The surgical technique of utilising a waterjet pulse lavage device during the minimally invasive necrosectomy is detailed. Sixteen patients being managed via a step-up approach underwent endoscopic necrosectomy via a radiologically placed drain tract. All sixteen patients were successfully managed endoscopically without conversion to open necrosectomy, and survived their admission. There were no complications associated with the use of the waterjet pulse lavage.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>Waterjet pulse lavage is a useful adjunct in minimally invasive necrosectomy, which reduces the length of the necrosectomy procedure, and facilitates removal of necrotic tissue while minimising the risk of traumatising healthy tissue.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00464-024-11297-6","type":"journal-article","created":{"date-parts":[[2024,10,4]],"date-time":"2024-10-04T20:34:25Z","timestamp":1728074065000},"page":"6973-6979","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Waterjet pulse lavage as a safe adjunct to video assisted retroperitoneal debridement in necrotising pancreatitis"],"prefix":"10.1007","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1558-8607","authenticated-orcid":false,"given":"Krishna","family":"Kotecha","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John","family":"Yeh","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Juanita N.","family":"Chui","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kevin","family":"Tree","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Douglas","family":"Greer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alex","family":"Boue","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tamara","family":"Gall","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Siobhan","family":"McKay","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anubhav","family":"Mittal","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jaswinder S.","family":"Samra","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,10,4]]},"reference":[{"issue":"8","key":"11297_CR1","doi-asserted-by":"publisher","first-page":"867","DOI":"10.1097\/MPA.0b013e3181b3b237","volume":"38","author":"U Navaneethan","year":"2009","unstructured":"Navaneethan U, Vege SS, Chari ST, Baron TH (2009) Minimally invasive techniques in pancreatic necrosis. Pancreas 38(8):867\u2013875. https:\/\/doi.org\/10.1097\/MPA.0b013e3181b3b237","journal-title":"Pancreas"},{"issue":"16","key":"11297_CR2","doi-asserted-by":"publisher","first-page":"1491","DOI":"10.1056\/NEJMoa0908821","volume":"362","author":"HC van Santvoort","year":"2010","unstructured":"van Santvoort HC, Besselink MG, Bakker OJ et al (2010) A step-up approach or open necrosectomy for necrotizing pancreatitis. N Engl J Med 362(16):1491\u20131502. https:\/\/doi.org\/10.1056\/NEJMoa0908821","journal-title":"N Engl J Med"},{"issue":"2","key":"11297_CR3","doi-asserted-by":"publisher","first-page":"14","DOI":"10.21926\/obm.hg.1902022","volume":"3","author":"M Kawka","year":"2019","unstructured":"Kawka M, Gall TMH, Jiao LR (2019) Managing acute severe necrotising pancreatitis. OBM Hepatol Gastroenterol 3(2):14. https:\/\/doi.org\/10.21926\/obm.hg.1902022","journal-title":"OBM Hepatol Gastroenterol"},{"issue":"11","key":"11297_CR4","doi-asserted-by":"publisher","first-page":"4459","DOI":"10.1177\/00031348221101495","volume":"89","author":"NL Eng","year":"2023","unstructured":"Eng NL, Fitzgerald CA, Fisher JG et al (2023) Laparoscopic-assisted pancreatic necrosectomy: technique and initial outcomes. The Am Surg 89(11):4459\u20134468. https:\/\/doi.org\/10.1177\/00031348221101495","journal-title":"The Am Surg"},{"issue":"1","key":"11297_CR5","doi-asserted-by":"publisher","first-page":"66","DOI":"10.1016\/j.pan.2015.12.001","volume":"16","author":"CC Thompson","year":"2016","unstructured":"Thompson CC, Kumar N, Slattery J et al (2016) A standardized method for endoscopic necrosectomy improves complication and mortality rates. Pancreatology 16(1):66\u201372. https:\/\/doi.org\/10.1016\/j.pan.2015.12.001","journal-title":"Pancreatology"},{"key":"11297_CR6","doi-asserted-by":"publisher","first-page":"586","DOI":"10.1001\/archsurg.1993.01420170122019","volume":"128","author":"EL Bradley","year":"1993","unstructured":"Bradley EL (1993) A clinically based classification system for acute pancreatitis. Summary of the International Symposium on Acute pancreatitis. Atlanta Ga. Sept 11\u201313 1992. Arch Surg 128:586","journal-title":"Arch Surg"},{"key":"11297_CR7","doi-asserted-by":"publisher","first-page":"2022","DOI":"10.1053\/j.gastro.2007.03.065","volume":"132","author":"C Fosmark","year":"2007","unstructured":"Fosmark C, Baillie K (2007) AGA Institute technical review on acute pancreatitis. Gastroenterology 132:2022\u20132044","journal-title":"Gastroenterology"},{"issue":"Suppl 1","key":"11297_CR8","doi-asserted-by":"publisher","first-page":"S163","DOI":"10.1016\/j.ijsu.2015.12.038","volume":"28","author":"W Bugiantella","year":"2016","unstructured":"Bugiantella W, Rondelli F, Boni M et al (2016) Necrotizing pancreatitis: a review of the interventions. Int J Surg 28(Suppl 1):S163\u2013S171. https:\/\/doi.org\/10.1016\/j.ijsu.2015.12.038","journal-title":"Int J Surg"},{"key":"11297_CR9","doi-asserted-by":"publisher","first-page":"1176","DOI":"10.1097\/MPA.0b013e318269c660","volume":"41","author":"M Freeman","year":"2012","unstructured":"Freeman M (2012) Interventions for Necrotising pancreatitis. Summary of a multidisciplinary consensus conference. Pancreas 41:1176\u20131194","journal-title":"Pancreas"},{"issue":"4","key":"11297_CR10","doi-asserted-by":"publisher","first-page":"1016","DOI":"10.1053\/j.gastro.2018.10.045","volume":"156","author":"RA Hollemans","year":"2019","unstructured":"Hollemans RA, Bakker OJ, Boermeester MA et al (2019) Superiority of step-up approach vs open necrosectomy in long-term follow-up of patients with necrotizing pancreatitis. Gastroenterology 156(4):1016\u20131026. https:\/\/doi.org\/10.1053\/j.gastro.2018.10.045","journal-title":"Gastroenterology"},{"issue":"6","key":"11297_CR11","doi-asserted-by":"publisher","first-page":"2429","DOI":"10.1007\/s00464-020-07469-9","volume":"34","author":"CM Haney","year":"2020","unstructured":"Haney CM, Kowalewski KF, Schmidt MW et al (2020) Endoscopic versus surgical treatment for infected necrotizing pancreatitis: a systematic review and meta-analysis of randomized controlled trials. Surg Endosc 34(6):2429\u20132444. https:\/\/doi.org\/10.1007\/s00464-020-07469-9","journal-title":"Surg Endosc"},{"issue":"3","key":"11297_CR12","doi-asserted-by":"publisher","first-page":"712","DOI":"10.1053\/j.gastro.2022.05.015","volume":"163","author":"AM Onnekink","year":"2022","unstructured":"Onnekink AM, Boxhoorn L, Timmerhuis HC et al (2022) Endoscopic versus surgical step-up approach for infected necrotizing pancreatitis (ExTENSION): long-term follow-up of a randomized trial. Gastroenterology 163(3):712-722.e14. https:\/\/doi.org\/10.1053\/j.gastro.2022.05.015","journal-title":"Gastroenterology"},{"issue":"4","key":"11297_CR13","doi-asserted-by":"publisher","first-page":"E330","DOI":"10.1055\/a-1994-6214","volume":"11","author":"D Ramai","year":"2023","unstructured":"Ramai D, McEntire DM, Tavakolian K et al (2023) Safety of endoscopic pancreatic necrosectomy compared with percutaneous and surgical necrosectomy: a nationwide inpatient study. Endosc Int Open 11(4):E330\u2013E339. https:\/\/doi.org\/10.1055\/a-1994-6214","journal-title":"Endosc Int Open"},{"issue":"4","key":"11297_CR14","doi-asserted-by":"publisher","first-page":"1016","DOI":"10.1053\/j.gastro.2018.10.045","volume":"156","author":"RA Hollemans","year":"2019","unstructured":"Hollemans RA, Bakker OJ, Boermeester MA et al (2019) Superiority of step-up approach vs open necrosectomy in long-term follow-up of patients with necrotizing pancreatitis. Gastroenterology 156(4):1016\u20131026. https:\/\/doi.org\/10.1053\/j.gastro.2018.10.045","journal-title":"Gastroenterology"},{"key":"11297_CR15","doi-asserted-by":"publisher","first-page":"351","DOI":"10.1007\/s00261-007-9221-5","volume":"32","author":"D Segal","year":"2007","unstructured":"Segal D (2007) Acute necrotizing pancreatitis: role of CT-guided percutaneous catheter drainage. Abdomin Imag 32:351\u2013361","journal-title":"Abdomin Imag"},{"key":"11297_CR16","doi-asserted-by":"publisher","first-page":"586","DOI":"10.1001\/archsurg.1993.01420170122019","volume":"128","author":"EL Bradley","year":"1993","unstructured":"Bradley EL (1993) A clinically based classification system for acute pancreatitis. Summary of the International Symposium on Acute pancreatitis. Atlanta Ga. Sept 11\u201313 1992. Arch Surg 128:586","journal-title":"Arch Surg"},{"issue":"2","key":"11297_CR17","doi-asserted-by":"publisher","first-page":"156","DOI":"10.1080\/13651820701225688","volume":"9","author":"HC van Santvoort","year":"2007","unstructured":"van Santvoort HC, Besselink MG, Horvath KD et al (2007) Videoscopic assisted retroperitoneal debridement in infected necrotizing pancreatitis. HPB (Oxford) 9(2):156\u2013159. https:\/\/doi.org\/10.1080\/13651820701225688","journal-title":"HPB (Oxford)"},{"issue":"6","key":"11297_CR18","doi-asserted-by":"publisher","first-page":"570","DOI":"10.1007\/s004640080056","volume":"15","author":"A String","year":"2001","unstructured":"String A, Berber E, Foroutani A, Macho JR, Pearl JM, Siperstein AE (2001) Use of the optical access trocar for safe and rapid entry in various laparoscopic procedures. Surg Endosc 15(6):570\u2013573. https:\/\/doi.org\/10.1007\/s004640080056","journal-title":"Surg Endosc"},{"key":"11297_CR19","doi-asserted-by":"publisher","first-page":"61","DOI":"10.1159\/000365288","volume":"53","author":"M Yamada","year":"2014","unstructured":"Yamada M, Nakano T, Sato C et al (2014) The dissection profile and mechanism of tissue-selective dissection of the piezo actuator-driven pulsed water jet as a surgical instrument: laboratory investigation using swine liver. Eur Surg Res 53:61\u201372","journal-title":"Eur Surg Res"},{"issue":"3","key":"11297_CR20","doi-asserted-by":"publisher","first-page":"817","DOI":"10.3171\/2015.3.JNS142121","volume":"124","author":"T Kawaguchi","year":"2016","unstructured":"Kawaguchi T, Nakagawa A, Endo T, Fujimura M, Sonoda Y, Tominaga T (2016) Ventricle wall dissection and vascular preservation with the pulsed water jet device: novel tissue dissector for flexible neuroendoscopic surgery. J Neurosurg 124(3):817\u2013822. https:\/\/doi.org\/10.3171\/2015.3.JNS142121","journal-title":"J Neurosurg"}],"container-title":["Surgical Endoscopy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00464-024-11297-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00464-024-11297-6\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00464-024-11297-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,1,6]],"date-time":"2025-01-06T15:08:32Z","timestamp":1736176112000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00464-024-11297-6"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,10,4]]},"references-count":20,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2024,11]]}},"alternative-id":["11297"],"URL":"https:\/\/doi.org\/10.1007\/s00464-024-11297-6","relation":{},"ISSN":["0930-2794","1432-2218"],"issn-type":[{"value":"0930-2794","type":"print"},{"value":"1432-2218","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,10,4]]},"assertion":[{"value":"19 April 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"15 September 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"4 October 2024","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Dr. Krishna Kotecha, Dr John Yeh, Dr Juanita Chui, Dr Kevin Tree, Dr Douglas Greer, Dr Alex Boue, Dr Tamara Gall, Dr Siobhan McKay, Prof Anubhav Mittal and Prof Jaswinder Samra have no conflicts of interest or financial ties to disclose.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Disclosures"}}]}}