重症急性胰腺炎的微创干预策略

Minimally invasive intervention strategy for severe acute pancreatitis

重症急性胰腺炎(SAP)是消化系统常见的危重疾病,病情进展快,临床转归多样,病死率较高。随着微创技术的不断发展,SAP的外科干预策略发生了重大的转变。外科干预模式正朝着微创化、多学科化和个体化方向发展。目前,创伤递升分阶段治疗理念和延迟干预理念已经获得了临床医生的普遍认可和接受。准确把握外科干预指征、重视外科干预时机的选择、选择合理的外科干预方式已成为临床上SAP外科干预治疗的关键。注重多学科团队协作与个体化原则,正确认识微创干预的作用与地位,有利于进一步提高SAP患者的整体治愈率。

Severe acute pancreatitis(SAP)is a common critical disease of the digestive system with rapid progression,multiple clinical outcomes,and high mortality rate.With the development of minimally invasive technology,the surgical intervention strategies for SAP have changed greatly,and the mode of surgical intervention is developing towards minimal invasiveness,multidisciplinary cooperation,and individualization.At present,the treatment concepts of“step-up approach”and delayed intervention have been widely accepted by clinicians.Accurately grasping the indications for surgical intervention,emphasizing the timing of surgical intervention,and selecting a reasonable mode of surgical intervention have become the key to successful surgical intervention for SAP in clinical practice.Emphasis on the principles of multidisciplinary cooperation and individualization and a correct understanding of the role and status of surgical intervention may help to further improve the overall cure rate of SAP patients.