重症急性胰腺炎合并胰周感染性坏死外科治疗的研究进展

Advances in Surgical Treatment of Severe Acute Pancreatitis with Infected Peripancreatic Necrosis

重症急性胰腺炎(SAP)是外科常见急腹症,而胰周感染性坏死(IPN)是SAP的严重并发症之一。近年来,随着微创治疗理念和微创外科技术的不断发展,"升阶梯"治疗策略逐渐成为治疗IPN的金标准,由于微创手术具有创伤小、恢复快、并发症少、病死率低等优点,已广泛应用于各阶段SAP的治疗。但各种微创手术的适用范围不同,且具体治疗尚存在分歧,临床治疗中应正确把握外科治疗的干预时机和指征,综合分析患者具体情况,采取最优的治疗方式。

Severe acute pancreatitis(SAP) is a common surgical emergency,and infected peripancreatic necrosis(IPN) is one of the serious complications of SAP.In recent years,with the continuous development of minimally invasive treatment concept and minimally invasive surgical technology," ladder" treatment strategy has gradually become the gold standard of IPN treatment.Because minimally invasive surgery has the advantages of small trauma,quick recovery,fewer complications and low mortality,it has been widely used in the treatment of SAP at all stages.However,the application scopes of various minimally invasive surgeries are different,and there are still controversies in the specific treatment,the timing and indications of surgical intervention should be correctly grasped in clinical,and comprehensive analysis of the specific situation of the patients should be done to adopt the optimal treatment.