Surgical management of acute pancreatitis: Historical perspectives, challenges, and current management approaches  

作　　者：Nasser Alzerwi 

机构地区：[1]Department of Surgery,Majmaah University,Riyadh 11952,Saudi Arabia

出　　处：《World Journal of Gastrointestinal Surgery》2023年第3期307-322,共16页世界胃肠外科杂志（英文版）（电子版）

摘　　要：Acute pancreatitis(AP)is a serious condition presenting catastrophic consequences.In severe AP,the mortality rate is high,and some patients initially diagnosed with mild-to-moderate AP can progress to a life-threatening severe state.Treatment of AP has evolved over the years.Drainage was the first surgical procedure performed for AP;however,later,surgical approaches were replaced by more conservative approaches due to the availability of advanced medical care and improved understanding of the course of AP.Currently,surgery is used to manage several complications of AP,such as pseudocysts,pancreatic fistulas,and biliary tract obstruction.Patients who are unresponsive to conservative treatment or have complications are typically considered for surgical intervention.This review focuses on the surgical approaches(endoscopic,percutaneous,and open)that have been established in recent studies to treat this acute condition and summarizes the common management guidelines for AP,discussing the relevant indications,significance,and complications.It is evident that despite their reduced involvement,surgeons lead the multidisciplinary care of patients with AP;however,given the gaps in existing knowledge,more research is required to standardize surgical protocols for AP.

关 键 词：Acute pancreatitis SURGERY Endoscopic management Open surgery NECROSECTOMY 

分 类 号：R576[医药卫生—消化系统]