OUTCOMES OF LAPAROSCOPIC MANAGEMENT OF ACUTE PANCREATITIS WITH PERIPANCREATIC COLLECTIONS

Abstract

Peripancreatic collections are a common consequence of acute pancreatitis, leading to considerable morbidity. Historically, open surgical drainage or necrosectomy were the main treatments for symptomatic or infected collections. Laparoscopic techniques have become more common as minimally invasive surgery has advanced. However, data from observational clinical studies assessing the effects of laparoscopic management are sparse.

Objective: The objective is to assess the clinical results of laparoscopic therapy for patients with acute pancreatitis with peripancreatic collections.

Methods: This retrospective observational analysis included patients with acute pancreatitis with peripancreatic. Patient demographics, aetiology, method of collection, operation details, postoperative problems, hospital stay, and mortality were all investigated.

Results: 42 patients were included. The most common cause was alcohol-induced pancreatitis (52.4%). Laparoscopic cystogastrostomy was performed in 26 patients (61.9%), followed by laparoscopic necrosectomy in 12 patients (28.6%) and laparoscopic external drainage in four patients (9.5%). Overall clinical success was achieved in 85.7% of patients. Postoperative problems occurred in 21.4% of cases. The average hospital stay lasted 9.6 ± 3.2 days. Overall, mortality was 4.8%

Conclusion: Laparoscopic management of peripancreatic collections in acute pancreatitis is a safe and successful procedure with low morbidity and mortality. For best results, patients must be carefully selected and interventions should be timed.