{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,5]],"date-time":"2026-09-05T03:12:40Z","timestamp":1788577960080,"version":"build-2803163510"},"reference-count":6,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T00:00:00Z","timestamp":1788480000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T00:00:00Z","timestamp":1788480000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Acute necrotising pancreatitis with infected pancreatic necrosis has a significant mortality of up to 23.5%, with survival dependent on achieving a complete necrosectomy. In recent years, several minimally invasive techniques have been developed including laparoscopic and endoscopic approaches, which are feasible, well\u2010tolerated and beneficial for the patient when compared with open surgery. Percutaneous drainage with radiologically guided drains has limited efficacy as pancreatic necrosis is mostly solid tissue, but these drains can guide the surgeon to areas of infected necrosis. We present our experience in utilising 10\u2009mL syringes as ports for retroperitoneal access to perform staged pancreatic necrosectomies, allowing the operator to use both the nephroscope and the gastroscope to visually guide the removal of necrotic tissue, the drainage of infected fluid and the placement of drains. This is a cost\u2010effective technique using widely available equipment and can be easily adopted.<\/jats:p>","DOI":"10.1111\/ans.70947","type":"journal-article","created":{"date-parts":[[2026,9,5]],"date-time":"2026-09-05T02:31:51Z","timestamp":1788575511000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["How to Do 10\u2009mL Syringe Port Retroperitoneal Access for Staged Minimally Invasive Pancreatic Necrosectomy"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-7458-7376","authenticated-orcid":false,"given":"Katharine","family":"Ji","sequence":"first","affiliation":[{"name":"Eastern Health, General Surgery  Box Hill Melbourne Australia"},{"name":"University of Sydney  Camperdown New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1143-9129","authenticated-orcid":false,"given":"Adrian","family":"Fox","sequence":"additional","affiliation":[{"name":"Eastern Health, General Surgery  Box Hill Melbourne Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4312-046X","authenticated-orcid":false,"given":"Matthew","family":"Marshall\u2010Webb","sequence":"additional","affiliation":[{"name":"Eastern Health, General Surgery  Box Hill Melbourne Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,4]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"crossref","first-page":"493","DOI":"10.1007\/s13304-023-01488-6","article-title":"Infected Pancreatic Necrosis: Outcomes and Clinical Predictors of Mortality. A Post Hoc Analysis of the MANCTRA\u20101 International Study","volume":"75","author":"Podda M.","year":"2023","journal-title":"Updates in Surgery"},{"key":"e_1_2_9_3_1","doi-asserted-by":"crossref","first-page":"474","DOI":"10.1007\/s00268-001-0252-8","article-title":"Surgical Treatment for Severe Acute Pancreatitis: Extent and Surgical Control of Necrosis Determine Outcome","volume":"26","author":"Gotzinger P.","year":"2002","journal-title":"World Journal of Surgery"},{"key":"e_1_2_9_4_1","first-page":"497","article-title":"Percutaneous Ultrasound\u2010Guided Drainage in the Surgical Treatment of Acute Severe Pancreatitis","volume":"129","author":"Delattre J. 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B.","year":"2015","journal-title":"Annals of the Royal College of Surgeons of England"}],"container-title":["ANZ Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ans.70947","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/ans.70947","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ans.70947","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,5]],"date-time":"2026-09-05T02:31:53Z","timestamp":1788575513000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ans.70947"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,4]]},"references-count":6,"alternative-id":["10.1111\/ans.70947"],"URL":"https:\/\/doi.org\/10.1111\/ans.70947","archive":["Portico"],"relation":{},"ISSN":["1445-1433","1445-2197"],"issn-type":[{"value":"1445-1433","type":"print"},{"value":"1445-2197","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,4]]},"assertion":[{"value":"2025-09-27","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-10","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-04","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"ans.70947"}}