Basic principles,methods and evaluation of minimally invasive treatment for infected pancreatic necrosis.
10.3760/cma.j.cn112139-20220901-00373
- Author:
Feng CAO
1
,
2
;
Fei LI
1
,
2
Author Information
1. Department of General Surgery,Xuanwu Hospital,Capital Medical University
2. Clinical Center for Acute Pancreatitis,Capital Medical University,Beijing 100053,China.
- Publication Type:Journal Article
- MeSH:
Humans;
Pancreatitis, Acute Necrotizing/complications*;
Acute Disease;
Debridement/methods*;
Endoscopy/methods*;
Drainage/methods*;
Intraabdominal Infections/complications*;
Treatment Outcome
- From:
Chinese Journal of Surgery
2023;61(1):13-17
- CountryChina
- Language:Chinese
-
Abstract:
Infected pancreatic necrosis(IPN) is the main surgical indication of acute pancreatitis. Minimally invasive debridement has become the mainstream surgical strategy of IPN,and it is only preserved for IPN patients who are not response for adequate non-surgical treatment. Transluminal or retroperitoneal drainage is preferred,and appropriate debridement can be performed. At present,it is reported that video assisted transluminal,trans-abdominal and retroperitoneal approaches can effectively control IPN infection. However,in terms of reducing pancreatic leakage and other complications,surgical and endoscopic transgastric debridement may be the future direction in the treatment of IPN.
