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

VernacularTitle:微创时代重症急性胰腺炎外科干预应注意的若干问题
Author: Bei SUN ¹ ; Guanqun LI ¹
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，哈尔滨　150001
Publication Type:Journal Article
Keywords: Pancreatitis; Surgical procedures,minimally invasive; Severe acute pancreatitis; Infected pancreatic necrosis
From: Chinese Journal of Surgery 2025;63(8):660-665
CountryChina
Language:Chinese
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.