Simultaneous endoscopic and video-assisted retroperitoneal debridement in walled-off pancreatic necrosis using a laparoscopic access platform: Two case reports

Figure 1 GelPOINT path transanal access platform.

Figure 2 Endoscopic-laparoscopic retroperitoneal debridement. A: GelPOINT path transanal access platform with access channel placed in the video-assisted retroperitoneal debridement incision; B and C: Necrotic debris evacuated through the access channel during endoscopic, transluminal necrosectomy; D: Corrugated drainage sheet placed in the video-assisted retroperitoneal debridement incision at the end of the procedure.

Figure 3 Case 1. Coronal computed tomography with walled-off necrosis. A: Before drainage; B: After 86 d and 14 procedures.

Figure 4 Case 2. Coronal computed tomography with walled-off necrosis. A: Before drainage; B: After 34 d and nine procedures.