Surgical intervention strategies for local complications of severe acute pancreatitis
10.3760/cma.j.cn115610-20200121-00040
- VernacularTitle:重症急性胰腺炎局部并发症外科干预策略
- Author:
Bei SUN
1
;
Guanqun LI
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
- From:
Chinese Journal of Digestive Surgery
2020;19(4):379-383
- CountryChina
- Language:Chinese
-
Abstract:
The second "death peak" in the late stage of severe acute pancreatitis (SAP), dominated by infectious pancreatic necrosis (IPN), is a challenge in clinical management. Surgeons play an important role in choosing the indication, timing, strategy and mode of the surgical intervention. Simultaneously, the early prediction and recognition, post-operative management and cooperation of IPN need to be strengthened. Nowadays, some new characteristics including minimal invasiveness, staging, multi-disciplinization, profe-ssionalization and diversi-fication emerge in the modern surgical intervention of IPN. Clinicians should establish a comprehensive treatment system centered on diseases. In addition, clinicians should also pay attention to non-infectious local complications of SAP to prevent the diseases. Based on clinical practice, the authors investigate the clinical practice of surgical intervention for local complications of SAP in order to further improve the overall cure rate of SAP patients in the later period.