Table 3.
Laparoscopic necrosectomy
| Study | n | Delay to necrosectomy, days, median (range) | Pre-op infected necrosis | Technique | Post-op irrigation | Procedures per patient, n | Major complications, % | Laparotomy required, n | Intensive care unit stay, days | Inpatient stay, days | Mortality |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Bucher et al. 200826 | 8 | 31 (13–59) | 8 | Single-port 5-mm scope | 8 | 1 (2) | 0 | 0 | 0 (0–4) | N/A | 0 |
| Parekh 200627a | 19 | 65 (22–154) | N/A | 3 ports and hand-assist | N/A | 1 median (1–3) | 1 | 3 | 6 ± 2 | 16 ± 4 | 2 |
| Ammori 200228 | 1 | 36 | 1 | 5 ports all lap | 1 | 1 | 0 | 0 | 0 | 14 | 0 |
| Horvath et al. 200129 | 6 | 30 (27–77) | 6 | 2 ports, retroperitoneal No pneumo | 3 | N/A | N/A | 2 | N/A | N/A | 0 |
| Zhu et al. 200030 | 10 | 1–3 | N/A | 3 ports pneumo | 3 | N/A | N/A | N/A | N/A | N/A | 1 |
| Alverdy et al. 200031 | 2 | 20 (18–21) | 1 | 2-ports Seldinger 5-mm scope | 0 | 2 (1–3) | 1 | 0 | 0 | N/A | 0 |
a
Parekh (2006) describes a series of 19 from a total of 23 patients undergoing necrosectomy during 2001–2006. One conversion was for intraoperative enteric injury
N/A, data not available; lap, laparoscopic; pneumo, pneumoperitoneum