Castellanos and colleagues report their experience using a translumbar approach to treat infected pancreatic necrosis in 15 patients. The authors conclude that this approach, combined with continuous lavage, is safe, facilitates subsequent debridements, and is generally less morbid than a transperitoneal approach. In the last 2 patients presented, the authors added retroperitoneoscopy using a flexible endoscope to the treatment regimen. This addition purportedly facilitated control of the evolving peripancreatic necrosis.
Harris HW. Infected Pancreatic Necrosis: Translumbar Approach and Management With Retroperitoneoscopy—Invited Critique. Arch Surg. 2002;137(9):1063. doi:10.1001/archsurg.137.9.1063