Trocar Assist Percutaneous Abscess Drainage: A Novel Minimally Invasive Approach Reducing Complications in Infected Necrotizing Pancreatitis-A Retrospective Cohort Study.

IF 1.3 4区医学 Q3 SURGERY

Surgical Laparoscopy, Endoscopy & Percutaneous Techniques Pub Date : 2026-10-01 DOI:10.1097/SLE.0000000000001480

Zhiwu Hong, Ping Wang, Zherui Zhang, Lei Wu, Liang Wang, Yang Yang, Jianan Ren

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引用次数: 0

Abstract

Background: Infected necrotizing pancreatitis (INP) requires effective drainage management. We introduce a novel technique, Trocar-Assisted Percutaneous Abscess Drainage (TAPAD), for direct placement of a double-lumen irrigation-suction tube and compare it with conventional 2-stage drainage.

Methods: This retrospective cohort study included INP patients treated with the 2-stage method (n=98) or TAPAD (n=88). Outcomes included subsequent surgical requirements, complications, mortality, inflammatory markers, and ICU length of stay.

Results: TAPAD significantly reduced the need for subsequent surgical intervention (OR=0.36, 95% CI: 0.16-0.82; P =0.02), abdominal bleeding (OR=0.41, 95% CI: 0.20-0.85; P =0.02), and ICU length of stay (HR=2.76, 95% CI: 1.89-4.02; P <0.001). Patients in the TAPAD group exhibited lower inflammatory marker levels on days 7 and 14 postintervention.

Conclusion: TAPAD represents a promising alternative to conventional 2-stage drainage, offering reduced complications and improved clinical outcomes in the management of INP.

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套管针辅助经皮脓肿引流术：一种减少感染坏死性胰腺炎并发症的新型微创方法——回顾性队列研究。

背景：感染性坏死性胰腺炎（INP）需要有效的引流治疗。我们介绍了一种新的技术，套管针辅助经皮脓肿引流（TAPAD），用于直接放置双腔灌吸管，并将其与传统的两阶段引流进行比较。方法：本回顾性队列研究纳入采用两阶段法（n=98）或TAPAD （n=88）治疗的INP患者。结果包括后续手术需求、并发症、死亡率、炎症标志物和ICU住院时间。结果：TAPAD显著减少了后续手术干预的需要（OR=0.36, 95% CI: 0.16-0.82； P=0.02），腹部出血（OR=0.41, 95% CI: 0.20-0.85； P=0.02）和ICU住院时间(HR=2.76, 95% CI: 1.89-4.02； P结论：TAPAD是传统两期引流的一个有希望的替代方案，减少了并发症，改善了INP治疗的临床结果。

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来源期刊

Surgical Laparoscopy, Endoscopy & Percutaneous Techniques 医学-外科

CiteScore

2.00

自引率

10.00%

发文量

103

审稿时长

3-8 weeks

期刊介绍： Surgical Laparoscopy Endoscopy & Percutaneous Techniques is a primary source for peer-reviewed, original articles on the newest techniques and applications in operative laparoscopy and endoscopy. Its Editorial Board includes many of the surgeons who pioneered the use of these revolutionary techniques. The journal provides complete, timely, accurate, practical coverage of laparoscopic and endoscopic techniques and procedures; current clinical and basic science research; preoperative and postoperative patient management; complications in laparoscopic and endoscopic surgery; and new developments in instrumentation and technology.