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Pancreatic necrosectomy

Surgical treatment for severe pancreatitis

Pancreatic necrosectomy is the surgical treatment of pancreatic necrosis ‒ a serious complication of acute pancreatitis.

About

Pancreatic necrosis is serious complication of acute pancreatitis which can be fatal, particularly if it becomes infected. Pancreatic necrosectomy is a surgical intervention that offers several options including the conventional open, percutaneous, laparoscopic, endoscopic or 'step-up' approaches.

Need to know

  • What happens icon plus

    Pancreatitis is where the pancreas is inflamed, and necrosis is a complication where the tissue of the pancreas starts to die and may become infected. The goal of necrosectomy is to remove all the areas of infection and necrosis, through one of several ways.

    The open surgical approach uses an abdominal cut.

    Alternatively, an endoscope (a thin tube with a camera on the end) is inserted through the mouth and instruments are passed through the stomach wall to wash out and remove the dead tissue.

    The laparoscopic approach is where the pancreas is accessed via smaller surgical cuts, and the purulent materials are gently suctioned out.

    Following the procedure, drains are inserted from the pancreatic area, a gastric tube is placed to control secretions coming from the stomach, and an appropriate access for feeding will also be inserted.

  • How to prepare icon plus

    As with any general anaesthetic you will need to abstain from food for six hours before the procedure. Depending on the nature of the underlying pancreatitis and chosen surgical approach, CT scanning may be used to insert a drain into the pancreas.

  • Afterwards icon plus

    Pancreatic necrosectomy is an advanced treatment for pancreatitis and post-operative care will be in keeping with ongoing treatment for the underlying pancreatitis. 

Consultant in theatres

Our HPB consultants

We're proud to work with leading hepatobiliary and liver experts, across a range of medical fields, whose skills are matched by their integrity and compassion.

Our locations

From complex pancreatic surgery to straightforward HPB medical procedures, we provide exceptional care across our network of hospitals, outpatient centres and specialist clinics.

  • facility-pgh-hero-579x579

    The Princess Grace Hospital

    42-52 Nottingham Place

    London W1U 5NY

    Appointments 0207 908 8001
    Enquiries 020 3130 6833

  • London Bridge Hospital

    London Bridge Hospital

    27 Tooley Street

    London

    SE1 2PR

    Appointments & Enquiries 0207 234 2009
    Imaging Appointments 0207 234 2773

  • MRI scans

    London Liver Centre

    London Liver Centre, 4th Floor, Emblem House

    27 Tooley Street

    London SE1 2PR

    Appointments & enquiries 020 7234 2730

Request an appointment

We're happy to help you make an appointment with one of our experienced consultants.

This content is intended for general information only and does not replace the need for personal advice from a qualified health professional.
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