BACKGROUND: Among @entity1 with @entity788 15-20% develop infected @entity39 , which entails mortality rates of up to 20%. Particularly driven by the results of the Dutch @entity788 Study Group there has been a  paradigm change from open necrosectomy to step-up treatment with initial percutaneous and/or endoscopic drainage followed, if necessary, by minimally invasive retroperitoneal debridement. AIM OF THE STUDY: Description of case series in which @entity1 underwent video-assisted retroperitoneal debridement (VARD) including follow-up focused on quality of life. METHODS: Systematic cohort study including all @entity1 who underwent a VARD procedure at the Department of General, Visceral and Transplantation Surgery at Aachen University Hospital from 2011 to 2015. Quality of life was recorded using the EORTC QLQ-C  30 questionnaire and compared to a  representative sample of the German general population. RESULTS: The VARD procedure was performed in 9  cases, although in 1 case conversion to an open approach due to an @entity548 was necessary. There was no 30-day and 60-day mortality following VARD. During the postoperative stay no @entity1 required specific treatment for surgical complications. In particular, no enterocutaneous @entity292 or organ perforation was observed. Regarding the quality of life score there was no significant difference concerning the global health status, compared to the sample from the general population. DISCUSSION: Our data reinforce that a  step-up approach in @entity1 with @entity788 is a  feasible and safe treatment procedure. For the first time, we could demonstrate satisfactory results in a  long-term follow-up including QOL.

[Video-assisted retroperitoneal debridement : Minimally invasive treatment and long-term results for XXXX ].

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity788 :: ('MESH:D010190', 'Disease') :: ['Pancreatitis', 'necrotizing pancreatitis'] @entity548 :: ('MESH:D006470', 'Disease') :: ['acute bleeding'] @entity39 :: ('MESH:D009336', 'Disease') :: ['necrosis'] @entity292 :: ('MESH:D005402', 'Disease') :: ['fistula']
@entity788 :: (MESH:D010190,Disease) :: ['necrotizing pancreatitis']
