{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T00:02:25Z","timestamp":1780444945703,"version":"3.54.1"},"reference-count":29,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2013,3,4]],"date-time":"2013-03-04T00:00:00Z","timestamp":1362355200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2014,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction and Objective<\/jats:title><jats:p>Surgery for necrotizing pancreatitis is associated with a high rate of morbidity and mortality. We present a series of 26 patients who underwent video\u2010assisted translumbar retroperitoneal necrosectomy and analyse their outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Records of 26 patients who underwent video\u2010assisted translumbar retroperitoneal necrosectomy and closed drainage for infected pancreatitic necrosis between <jats:styled-content style=\"fixed-case\">J<\/jats:styled-content>anuary 2008 and <jats:styled-content style=\"fixed-case\">M<\/jats:styled-content>arch 2012 were reviewed, retrospectively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Twenty\u2010three out of 26 patients were males, with a mean age of 38.6 (\u00b19.9) years. Alcohol was the aetiology in 18 patients, gall stones in 7, and in 1 it was idiopathic. The mean duration of symptoms before patients were taken up for surgery was 47.2 (\u00b134.8) days. The mean computed tomography severity index was 7.7 (\u00b11.2). All patients had undergone video\u2010assisted retroperitoneal necrosectomy through a limited left lumbar incision. Post\u2010operative lavage was given through drains placed in the retroperitoneum. Three patients required re\u2010exploration. Eleven patients developed complications and there were two mortalities. The median intensive care unit (<jats:styled-content style=\"fixed-case\">ICU<\/jats:styled-content>) stay was 4 days (range 2\u201314 days). The mean post\u2010operative hospital stay was 22.5 (\u00b16.6) days.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Video\u2010assisted translumbar retroperitoneal necrosectomy followed by closed lavage of infected pancreatic necrosis in select cases of infected pancreatic necrosis was associated with a low rate of <jats:styled-content style=\"fixed-case\">ICU<\/jats:styled-content> stay, hospital stay and need for re\u2010entry.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ans.12107","type":"journal-article","created":{"date-parts":[[2013,3,5]],"date-time":"2013-03-05T09:05:17Z","timestamp":1362474317000},"page":"270-274","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Outcome of video\u2010assisted translumbar retroperitoneal necrosectomy and closed lavage for severe necrotizing pancreatitis"],"prefix":"10.1111","volume":"84","author":[{"given":"Srinivasan","family":"Ulagendra Perumal","sequence":"first","affiliation":[{"name":"Institute of Surgical Gastroenterology and Liver Transplantation Government Stanley Medical College  Chennai India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sastha Ahanatha","family":"Pillai","sequence":"additional","affiliation":[{"name":"Institute of Surgical Gastroenterology and Liver Transplantation Government Stanley Medical College  Chennai India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Senthilkumar","family":"Perumal","sequence":"additional","affiliation":[{"name":"Institute of Surgical Gastroenterology and Liver Transplantation Government Stanley Medical College  Chennai India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeswanth","family":"Sathyanesan","sequence":"additional","affiliation":[{"name":"Institute of Surgical Gastroenterology and Liver Transplantation Government Stanley Medical College  Chennai India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ravichandran","family":"Palaniappan","sequence":"additional","affiliation":[{"name":"Institute of Surgical Gastroenterology and Liver Transplantation Government Stanley Medical College  Chennai India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2013,3,4]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.1993.01420170122019"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1572-0241.2006.00856.x"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2005.01.003"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.4341"},{"key":"e_1_2_5_6_1","doi-asserted-by":"crossref","first-page":"523","DOI":"10.47102\/annals-acadmedsg.V35N8p523","article-title":"Infected pancreatic necrosis \u2013 an evaluation of the timing and technique of necrosectomy in a southeast Asian population","volume":"35","author":"Lee VT","year":"2006","journal-title":"Ann. 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