感染性胰腺坏死的微创治疗进展  

Research advances in minimally invasive treatment of infectious pancreatic necrosis

作　　者：吴东东[1] 杨小艳[1] 高峰[1] 

机构地区：[1]延安大学附属医院肝胆外科,陕西延安716000

出　　处：《临床肝胆病杂志》2017年第4期785-789,共5页Journal of Clinical Hepatology

摘　　要：感染性胰腺坏死(IPN)是急性胰腺炎中一个具有挑战性的并发症,易导致预后不良。多年来,传统开腹坏死组织清除术已经成为IPN的主要治疗方式,但同时也伴随着较高的并发症发生率和病死率。近几年,随着微创外科的迅猛发展,许多学者对IPN患者进行了微创治疗并获得了良好的治疗效果。介绍了经皮穿刺置管引流术、微创腹膜后坏死组织清除术、内镜下引流+坏死组织清除术、腹腔镜坏死组织清除术、"进阶式"治疗策略等5种常见的微创治疗技术,认为不同的微创技术具有不同的适应证,应根据IPN患者的综合情况选择最佳的微创治疗方法以提高疗效。Infectious pancreatic necrosis （IPN） is a challenging complication of acute pancreatitis and can lead to poor prognosis. Over the years, open necrosectomy has become the main treatment modality for IPN, but it will cause high incidence rate of complications and mortality rate. In recent years, with the rapid development of minimally invasive surgery, many scholars have performed minimally invasive treatment for IPN patients and achieved good outcomes. This article introduces five minimally invasive treatment techniques, i. e. , percutaneous catheter drainage, minimally invasive retroperitoneal necrosectomy, endoscopic drainage ＋ necrosectomy, laparoscopic necrosectomy, and ＂advanced＂ therapeutic strategy, pointed out that different minimally invasive techniques had different indications, and minimally invasive therapies should be selected based on IPN patients＇general conditions to improve their outcome.

关 键 词：胰腺疾病 引流术 腹腔镜 外科手术 微创性 综述 

分 类 号：R657.51[医药卫生—外科学]