Acute Pancreatitis is acute onset damage to the pancreas secondary to gall stones or alcohol binge drinking. It is associated with severe damage to pancreatic tissue followed by fluid collection in the abdomen. It presents as severe upper abdominal pain radiating to back, is associated with raised amylase and lipase levels in blood, requires ICU management and ventilator for breathing difficulty. It requires surgical drainage to decrease the infection and improve healing.
Surgery for pancreatic necrosis following acute pancreatitis was conventionally done by open surgery. It was associated with significant surgical morbidity, that is, wound complications, facial dehiscence, and intestinal fistulae. In recent years, there has been interest in attempting to reduce this surgical morbidity by adopting a number of minimally invasive approaches.
Laparoscopic pancreatic necrosectomy is done by keyhole openings (Laparoscopy) with minimal wound on abdomen and faster recovery and return to work. It saves the patient from immense trauma of open surgery and associated pain is much less. It requires an expert team of surgery and good hospital setup for doing a laparoscopic surgery.
Post surgery the patients are back to routine work quickly, may require diabetes medicines and pancreatic enzyme supplements for short term. Avoiding alcohol and Removing Gall bladder for gall stones (laparascopic cholecystectomy) may prevent attack of pancreatitis.