Technique of the VARTD approach
necrotic, necrosis
CREST, DECUBITUS, NECROTIC, NECROSIS
To ensure that all the participants undergo a more standardized and uniform VARTD approach to all the procedures and avoid biases caused by differences in surgical technical skill, allowing for evidence-based recommendations for its future use, the VARTD was performed by a team consisting of two experienced pancreatic surgeons (Y Tang and H Liu).After induction of general anesthesia, the patient was placed in the left/right lateral decubitus position. The decision about where to perform the skin incision depends on prior confirmation of the location of the necrosis on the CECT image, allowing the closest access route to the necrotic collection. First, a longitudinal/oblique mini-incision (approximately 3–5 cm) was made in the midaxillary line between the costal margin and the iliac crest (Fig. Technique of the VARTD approach. 