[Several issues to consider in surgical intervention for severe acute pancreatitis in the era of minimally invasive techniques].

中华外科杂志 Pub Date : 2025-06-25 DOI:10.3760/cma.j.cn112139-20250218-00082

B Sun, G Q Li

引用次数: 0

Abstract

Severe acute pancreatitis (SAP) has a mortality rate of up to 30%. Infected pancreatic necrosis (IPN) is a serious complication of acute pancreatitis with high mortality with poor prognosis. With the rapid development of the concept of minimally invasive surgery,the "step-up" treatment strategy with minimally invasive techniques as the core has improved the prognosis of SAP patients,and surgical intervention is extremely key in this process. This article focuses on the surgical intervention strategies of SAP in the era of minimally invasive surgery,including the application of surgical rescue,the selection of the timing and method in surgical intervention,the early prediction and diagnosis of IPN,and the treatment of residual infection, so as to provide reference for the clinical treatment of SAP. The key to reduce the mortality of SAP patients is to establish an integrated comprehensive treatment platform and properly grasp the timing and method of surgical intervention.

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[微创技术时代重症急性胰腺炎手术干预需要考虑的几个问题]。

严重急性胰腺炎（SAP）的死亡率高达30%。感染性胰腺坏死（IPN）是急性胰腺炎的严重并发症，死亡率高，预后差。随着微创手术理念的快速发展，以微创技术为核心的“台阶式”治疗策略改善了SAP患者的预后，手术干预在此过程中极为关键。本文重点探讨微创手术时代SAP的手术干预策略，包括手术抢救的应用、手术干预时机和方法的选择、IPN的早期预测和诊断、残留感染的治疗等。为SAP的临床治疗提供参考。建立一体化的综合治疗平台，正确把握手术干预时机和方法，是降低SAP患者死亡率的关键。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

中华外科杂志

CiteScore

0.80

自引率

0.00%

发文量

20861

期刊介绍： Chinese Journal of Surgery|Chin J Surg (monthly) is a high-level medical science and technology journal approved by the General Administration of Press and Publication of the People's Republic of China, under the supervision of the China Association for Science and Technology, and organised by the Chinese Medical Association for domestic and international public circulation. It was founded in January 1951, and is published on the basis of the Journal of Chinese Surgery. The Journal is aimed at senior and intermediate surgeons and related researchers, mainly reporting the leading scientific research results and clinical experience in the field of surgery, as well as the basic theoretical research that has a guiding effect on the clinical work of surgery. Chinese Journal of Surgery|Chin J Surg is committed to reflecting the major research progress in the field of surgery in China and promoting academic exchanges at home and abroad. The main columns include thesis, meta-analysis, review, expert forum, synthesis, case report, diagnosis and treatment experience, technical exchange, clinical case discussion, academic controversy, and special lectures, etc. The journal has been accepted by the National Academy of Medicine of the United States. The journal has been included in many famous databases at home and abroad, such as the Biomedical Analysis and Online Retrieval System (MEDLINE) of the U.S. National Library of Medicine.