急性胰腺炎外科干预的时机及技术探讨

Timing and techniques of surgical intervention for acute pancreatitis: consensus and controversy

急性胰腺炎病情复杂多变,早期以非手术治疗为主,但是早期针对急性胰腺炎的某些病因,需及时行外科干预,以控制其发病病因。而在急性胰腺炎发病中后期,针对局部并发症,讨论了外科治疗的时机,对经皮穿刺置管引流和视频辅助微创手术等技术的应用进行了探讨。微创手术和传统开腹手术孰优孰劣、如何合理选择视频辅助微创技术等方面目前还存有争议,今后需进行更深入的研究。

Acute pancreatitis has uncertain and complicated conditions,and non -surgical treatment is mainly used during the early stage. However,as for the causes of acute pancreatitis in early stage,timely surgical intervention should be given to control some causes.This arti-cle also elaborates on the application of percutaneous drainage and video -assisted minimally invasive surgery.It is pointed out that there are still controversies over the advantages and disadvantages of minimally invasive surgery and conventional laparotomy and how to select video -assisted minimally invasive surgery,and that in depth studies are still needed in future.