Surgical intervention strategy for severe acute pancreatitis in minimally invasive era
10.3760/cma.j.issn.0529-5815.2019.10.002
- VernacularTitle: 微创时代重症急性胰腺炎外科干预的治疗策略
- Author:
Bei SUN
1
;
Guanqun LI
Author Information
1. Department of Pancreatic and Biliary Surgery, the First Affiliated Hospital of Harbin Medical University, Key Laboratory of Hepatosplenic Surgery, Ministry of Education, Harbin 150001, China
- Publication Type:Journal Article
- Keywords:
Pancreatitis, acute necrotizing;
Surgical procedures, minimally invasive;
Surgical intervention;
Step-up approach
- From:
Chinese Journal of Surgery
2019;57(10):725-729
- CountryChina
- Language:Chinese
-
Abstract:
With the development of minimally invasive concept, the treatment mode of severe acute pancreatitis has changed greatly. The tendency of surgical intervention has changed from excessive intervention to inadequate intervention. The timing of intervention has changed from earlier to later, and the mode of intervention has changed from openness as the main way to minimally invasive as the guidance. The transformation of surgical intervention tendency conforms to both minimally invasive trend and the step-up approach, but there are still some shortcomings: inadequate surgical intervention, inappropriate timing and indications, and over dependence on minimally invasive surgery. Correctly grasping the indications of surgical intervention, accurately grasping the timing of surgical intervention, and reasonably choosing the mode of surgical intervention are the keys to solve the insufficiency of surgical intervention. Laying emphasis on multidisciplinary team and correctly recognizing the role and status of surgical intervention can effectively reduce the mortality of severe acute pancreatitis patients.
