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。
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.
作者
李非
曹锋
Li Fei;Cao Feng(Department of General Surgery,Xuanwu Hospital,Capital Medical University,Beijing 100053,China)
出处
《中华消化外科杂志》
CAS
CSCD
北大核心
2018年第12期1156-1159,共4页
Chinese Journal of Digestive Surgery
基金
北京市科学技术委员会首都临床特色应用研究与成果推广项目(Z171100001017077),北京市医院管理局“青苗计划”项目(QML20160806).
关键词
急性胰腺炎
感染性胰腺坏死
感染
外科手术
腹腔镜检查
Acute pancreatitis
Infected pancreatic necrosis
Infection
Surgical proce- dures,operative
Laporoscopy
作者简介
通信作者:李非,Email:feili36@ccmu.edu.cn
