Advances in the surgical management of severe acute pancreatitis
10.3760/cma.j.cn115396-20221118-00393
- VernacularTitle:重症急性胰腺炎的外科诊疗进展
- Author:
Tingting LIU
1
;
Xinghua HUANG
;
Fan PAN
;
Yi JIANG
Author Information
1. 福建中医药大学福总教学医院,福州 350025
- Keywords:
Pancreatitis;
Diagnosis;
Postoperative complications;
Acute pancreatitis;
Severe disease;
Surgical treatment
- From:
International Journal of Surgery
2022;49(12):836-842
- CountryChina
- Language:Chinese
-
Abstract:
Severe acute pancreatitis is one of the most common surgical emergencies with rapid onset, rapid progression, multiple complications, poor prognosis, and high morbidity and mortality, and it still faces many challenges in treatment. Surgical interventions are crucial in many complications of SAP mainly infected pancreatic necrosis in the late course of the disease, and there is a basic consensus on delayed intervention and trauma ascending treatment model, but over-emphasis on delay may cause patients to miss the best treatment period, and following a single treatment model may delay the patient′s condition. Therefore, it is of great significance for surgeons to grasp the correct indications and timing of surgical intervention and to develop appropriate surgical intervention strategies to reduce the morbidity and mortality of severe acute pancreatitis and improve the clinical prognosis of patients. In this paper, we review the progress of surgical treatment of severe acute pancreatitis with domestic and international literature.