关键词: 感染性胰腺坏死, 微创外科, 急性胰腺炎, 治疗策略, 技术评价

Abstract: Minimally invasive surgical management strategies, techniques, and evaluation for infected pancreatic necrosis        LI Fei, HUANG Bo-han, CAO Feng. Department of General Surgery, Xuanwu Hospital Capital Medical University; & Clinical Center for Acute Pancreatitis, Capital Medical University, Beijing 100053, China
Corresponding author: LI Fei, E-mail: feili36@ccmu.edu.cn
Abstract    Acute pancreatitis (AP) is a common surgical acute abdomen with an increasing incidence rate annually, which brings significant economic and social burdens. About 30% of cases of necrotizing pancreatitis will develop secondary infections and progress to infected pancreatic necrosis (IPN), which is difficult to treat and carries mortality of up to 30%. With the development of minimally invasive treatment technology, the "step-up" approach centered on minimally invasive surgery has improved the prognosis of patients and received consistent recommendations from many guidelines. Currently, there are various minimally invasive surgical methods for IPN in China, which have achieved good efficacy according to the reports from various centers. However, it is crucial to acknowledge that IPN is a disease with considerable individual variability, multiple complications, complicated treatment processes, and high mortality. Therefore, it is necessary to emphasize the treatment strategy of minimally invasive surgery for IPN, evaluate the advantages and disadvantages of current technologies, and promote the concept of minimally invasive surgery.

Key words: infected pancreatic necrosis, minimally invasive surgery, acute pancreatitis, treatment strategy, technical evaluation