{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,22]],"date-time":"2026-04-22T09:00:03Z","timestamp":1776848403069,"version":"3.51.2"},"reference-count":12,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2024,6,1]],"date-time":"2024-06-01T00:00:00Z","timestamp":1717200000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2024,6,1]],"date-time":"2024-06-01T00:00:00Z","timestamp":1717200000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2024,5,7]],"date-time":"2024-05-07T00:00:00Z","timestamp":1715040000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction and importance:<\/jats:title>\n                    <jats:p>The incidence of acute pancreatitis varies globally, and its rates are increasing. Timely intervention in cases of infected necrosis is crucial to effective management. The landscape of acute pancreatitis management has undergone transformation through adopting a \u201cstep-up\u201d strategy, accentuating the shift towards minimally invasive techniques.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation:<\/jats:title>\n                    <jats:p>A 63-year-old patient with acute pancreatitis and infected pancreatic necrosis underwent a challenging yet successful treatment using video-assisted retroperitoneal debridement employing a two-port approach facilitated access for an intricate area. The procedure, performed 45 days after admission, effectively reduced peripancreatic collections, demonstrating the efficacy of this approach in managing complex cases of infected pancreatic necrosis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical discussion:<\/jats:title>\n                    <jats:p>The management of acute pancreatitis has evolved towards a comprehensive strategy involving early hydration, nutritional support, effective pain management, and interventions. Infected pancreatic necrosis poses a serious complication, with minimally invasive techniques such as video-assisted retroperitoneal debridement (VARD) emerging as preferred options. The efficacy and safety of VARD in complex cases are highlighted, although challenges persist, especially in extensive necrosis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The VARD procedure, a key component of the step-up approach, exhibits a remarkable safety profile, substantially reducing postoperative complications and mortality compared to open surgical counterparts. However, challenges persist in managing cases of infected Walled-Off Necrosis with deep extension, necessitating carefully considering a minimal-access approach. We report our experience using the VARD in a two-port approach.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2024.109740","type":"journal-article","created":{"date-parts":[[2024,5,8]],"date-time":"2024-05-08T11:45:41Z","timestamp":1715168741000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Video assisted retroperitoneal debridement for infected pancreatic necrosis: A two port approach for difficult access"],"prefix":"10.1097","volume":"119","author":[{"given":"Daniel","family":"G\u00f3mez-Carrillo","sequence":"first","affiliation":[{"name":"School of Medicine, Universidad de los Andes, Bogot\u00e1, Colombia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carlos Eduardo Rey","family":"Chaves","sequence":"additional","affiliation":[{"name":"Estudiante de posgrado Cirug\u00eda General, Pontificia Universidad Javeriana, Facultad de Medicina, Bogot\u00e1, Colombia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mar\u00eda Valentina","family":"Romero","sequence":"additional","affiliation":[{"name":"Estudiante de posgrado Cirug\u00eda General, Pontificia Universidad Javeriana, Facultad de Medicina, Bogot\u00e1, Colombia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jaime","family":"Cruz","sequence":"additional","affiliation":[{"name":"Pontificia Universidad Javeriana, Bogot\u00e1, Colombia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roosevelt","family":"Fajardo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francisco","family":"D\u00edaz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"issue":"5","key":"R1-80-20260422","doi-asserted-by":"crossref","first-page":"787","DOI":"10.1097\/SLA.0b013e3181d96c53","article-title":"Minimal access retroperitoneal pancreatic necrosectomy: improvement in morbidity and mortality with a less invasive approach","volume":"251","author":"Raraty","year":"2010","journal-title":"Ann. Surg."},{"issue":"10252","key":"R2-80-20260422","doi-asserted-by":"crossref","first-page":"726","DOI":"10.1016\/S0140-6736(20)31310-6","article-title":"Acute pancreatitis","volume":"396","author":"Boxhoorn","year":"2020","journal-title":"Lancet"},{"key":"R3-80-20260422","doi-asserted-by":"crossref","first-page":"72","DOI":"10.1186\/s40001-023-01030-9","article-title":"Minimal-access video-assisted retroperitoneal and\/or transperitoneal debridement (VARTD) in the management of infected walled-off pancreatic necrosis with deep extension: initial experience from a prospective single-arm study","volume":"28","author":"Wei","year":"2023","journal-title":"Eur. J. Med. Res."},{"issue":"16","key":"R4-80-20260422","doi-asserted-by":"crossref","first-page":"1491","DOI":"10.1056\/NEJMoa0908821","article-title":"A step-up approach or open necrosectomy for necrotizing pancreatitis","volume":"362","author":"van Santvoort","year":"2010","journal-title":"N. Engl. J. 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Surg."},{"issue":"107254","key":"R6-80-20260422","article-title":"Video-assisted retroperitoneal debridement for infected pancreatic necrosis: a single center series.","volume":"95","author":"Wu","year":"2022","journal-title":"Int J Surg Case Rep [Internet]."},{"key":"R7-80-20260422","doi-asserted-by":"crossref","first-page":"8","DOI":"10.21037\/asj-21-101","article-title":"Minimally invasive retroperitoneal necrosectomy: how do we do it?","volume":"3","author":"Marmolejo","year":"2023","journal-title":"AME Surg J [Internet]."},{"issue":"5","key":"R8-80-20260422","doi-asserted-by":"crossref","first-page":"1136","DOI":"10.1097\/JS9.0000000000000373","article-title":"The SCARE 2023 guideline: updating consensus Surgical CAse REport (SCARE) guidelines","volume":"109","author":"Sohrabi","year":"2023","journal-title":"Int J Surg Lond Engl."},{"key":"R9-80-20260422","first-page":"79","article-title":"Trans -gastric and trans -abdominal percutaneous drainage of acute peripancreatic fluid infected collections: a retrospective analysis","author":"Rey","year":"2022","journal-title":"Ann Med Surg (Lond)"},{"key":"R10-80-20260422","doi-asserted-by":"crossref","first-page":"102","DOI":"10.1136\/gutjnl-2012-302779","article-title":"Classification of acute pancreatitis\u20142012: revision of the Atlanta classification and definitions by international consensus","volume":"62","author":"Banks","year":"2013","journal-title":"Gut"},{"issue":"1","key":"R11-80-20260422","doi-asserted-by":"crossref","first-page":"58","DOI":"10.22516\/25007440.778","article-title":"Manejo quir\u00fargico de la necrosis pancre\u00e1tica infectada. Serie de casos en un hospital de cuarto nivel en Bogot\u00e1, Colombia, 2014-2021","volume":"37","author":"Rey-Chaves","year":"2022","journal-title":"Rev. Colomb. 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