基于“Step-Up Approach”理念的感染坏死性胰腺炎微创治疗

Minimally Invasive Treatment of Infected Pancreatic Necrosis Based on the Concept of “Step-Up Approach”

感染坏死性胰腺炎(infected pancreatic necrosis, IPN)是一种毁灭性、危及生命的疾病,治疗棘手,致死率高,随着微创技术发展,IPN的治疗模式已经从传统开放手术转向微创治疗,创伤升阶梯分阶段治疗(step-up approach)是目前INP的重要治疗模式之一,本文对step-up策略实施的手术时机、手术方式进行阐述,虽然step-up创伤升阶梯模式显著改善患者预后,但IPN病情复杂,治疗不应千篇一律,应根据病人的具体情况,采用合适的治疗方案。

Infected pancreatic necrosis is a devastating and life-threatening disease with difficult treatment and high mortality. With the development of minimally invasive technology, “step-up approach” is one of the important treatment approaches of infected pancreatic necrosis (IPN) at present. This paper describes the operative timing and surgical methods of step-up strategy. Although the step-up approach can significantly improve the prognosis of patients, IPN is complicated, and the treatment should not be the same and should be based on the specific situation of patients, using appropriate treatment method.