This is the Scientific Surgery Archive, which contains all randomized clinical trials in surgery that have been identified by searching the top 50 English language medical journal issues since January 1998. Compiled by Jonothan J. Earnshaw, former Editor-in-Chief, BJS

Treatment for Infected pancreatic necrosis should be delayed, possibly avoiding an open surgical approach. A systematic review and network meta-analysis. Ann Surg 2021; 273: 251-257.

Published: 7th May 2021

Authors: Ricci C, Pagano N, Ingaldi C, Frazzoni L, Migliori M, Alberici L et al.

Conclusion

This study included 7 RCTs involving 400 patients. The step-up approach with minimally invasive debridement had the highest probability of being the safest approach to management (87.1 per cent), with the shortest stay in critical care and in hospital, and the lowest risk of new-onset diabetes.

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