感染性胰腺坏死的腹腔镜手术及治疗展望

Laparoscopic surgery and treatment prospect of infected pancreatic necrosis

  • 摘要: 感染性胰腺坏死(IPN)是急性胰腺炎的严重并发症,多需手术干预。以视频辅助清创技术为代表的微创手术已成为IPN治疗的主流,腹腔镜是重要的视频辅助工具。腹腔镜辅助胰腺坏死组织清除可有效控制IPN患者感染症状,改善患者预后。微创手术时代,IPN手术治疗的最佳时机与策略是值得重新思考的话题。随着IPN治疗的中心化及多学科团队协作诊断与治疗模式的广泛开展,IPN患者预后有望进一步改善。

     

    Abstract: Infected pancreatic necrosis (IPN) is a serious complication of acute pancreatitis and requires surgical intervention. Minimally invasive surgery represented by video-assisted debridement has become the mainstream of IPN treatment, and laparoscope is an important video-assisted tool. Laparoscopy assisted debridement can effectively control the symptoms of IPN infection and improve the prognosis of patients. In the era of minimally invasive surgery, the optimal timing and strategy of IPN surgery is a topic worthy of reconsideration. With the centralization of IPN treatment and the extensive development of multidisciplinary team, the prognosis of IPN patients is expected to be further improved.

     

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