The rationale of surgical intervention during acute necrotizing pancreatitis is to remove necrotic tissue preserving healthy glandular parenchyma and other adjacent structures, thus limiting severe complications. Necrosectomy and debridment are crucial in surgical management, further treatment of pancreatic bad and peripancreatic tissue are still matter of debate among pancreatic surgeons. Zipper technique is one of the three recognized methods for the surgical management of necrotizing pancreatitis. The aim this study was to review the literature date about treatment using this technique, as well to compare the results of treatment with other techniques, in order to present the advantage and shortage of zipper technique.
Surgical management of severe acute necrotizing pancreatitis: improved outcomes and mortality