Rethinking on the classification of infected pancreatic necrosis and its surgical intervention strategy
10.3760/cma.j.cn112139-20210127-00054
- VernacularTitle:感染性胰腺坏死分型的初探与外科干预策略的再思考
- Author:
Yuhang SUI
1
;
Bei SUN
Author Information
1. 哈尔滨医科大学附属第一医院胰胆外科 肝脾外科教育部重点实验室 150001
- Keywords:
Pancreatitis,acute necrotizing;
Infection;
Classification;
Stepup approach;
Surgical intervention
- From:
Chinese Journal of Surgery
2021;59(7):601-607
- CountryChina
- Language:Chinese
-
Abstract:
Infected pancreatic necrosis is a complex disease which is difficult to deal with.Timely and effective removal of the infection is the core of surgical treatment.Accurate determination and location of the infected area as well as targeted drainage and debridement are the key to further enhance the overall cure rate of necrotizing pancreatitis.Combining the clinical practice and relevant literatures,the classification of infected pancreatic necrosis is tentatively proposed based on the site of infection and necrosis or treatment in this paper.Meanwhile, the diversified intervention methods in the new era and the issues that need attention in the concept of step-up approach are rediscussed, aiming at scientific planning of treatment strategies and targeted intervention methods to reduce patients′ mortality and improve prognosis.
