Laparoscopy with nephroscopy in single-stage necrosectomy for the treatment of severe acute pancreatitis

Abstract

Background: Severe acute pancreatitis (SAP) is difficult to manage despite the availability of different endoscopic techniques. The most beneficial protocol remains unclear. Objective: To explore the efficiency and safety of a combination of laparoscopy and nephroscopy in single-stage necrosectomy for the treatment of SAP. Methods: A 57-year-old woman with SAP underwent microinvasive surgery (combination of laparoscopy and nephroscopy for first necrosectomy) along with dual-catheter drainage. Results: The patient recovered uneventfully. She was followed up for 5 months. No surgery-related complications or other adverse events occurred. She was living a functional life at the time of this writing. Conclusion: The combination of laparoscopy and nephroscopy is accessible and safe for single-stage surgical treatment of conditions involving the abdomen and retroperitoneum. This technique reduces healthcare costs and shortens the hospital stay. It is a clinically valuable technique for surgeons to learn.