Nephroscope-Assisted Debridement of Pancreatic Necrosis Using the Palanivelu Hydatid Trocar Cannula System: A Novel Technique

Percutaneous catheter drainage has been proven to be an effective treatment for infected pancreatic necrosis and pancreatic abscess. In cases with failure of drainage of pancreatic necrosis by percutaneous catheters, video-assisted retroperitoneal debridement (VARD) has been recommended. The Palanivelu hydatid trocar cannula system has been developed for its use in laparoscopic management of hydatid cyst disease, as it allows for simultaneous irrigation and suction of daughter cysts. We describe our technique of nephroscopic-assisted drainage of infected pancreatic necrosis using the Palanivelu hydatid trocar cannula system, which, to the best of our knowledge, has not been described in the literature to date.