中国实用外科杂志

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腹腔镜手术治疗重症急性胰腺炎策略及要点

刘    荣,张    煊   

  1. 中国人民解放军总医院肿瘤外二科,北京 100853
  • 出版日期:2015-05-01 发布日期:2015-04-28

  • Online:2015-05-01 Published:2015-04-28

摘要:

随着微创外科技术的发展及损伤控制外科理念的引入,重症急性胰腺炎的治疗已经发生根本性的改变。根据胰腺炎病理特点和腹膜后解剖特点合理地选择手术时机,应用腹腔镜、后腹腔镜或腹膜后坏死组织阶梯式清创术等手段对重症急性胰腺炎病人的胰腺坏死组织进行引流或清创已经成为其治疗的有效手段。

关键词: 腹腔镜, 重症急性胰腺炎, 微创外科

Abstract:

Strategies and main points of laparoscopic operation for severe acute pancreatitis        LIU Rong,ZHANG Xuan. The Second Department of Oncology Surgery,PLA General Hospital,Beijing 100853,China
Corresponding author: LIU Rong, E-mail: liurong301@126.com
Abstract    Over the last decade,the treatment of SAP has undergone fundamental changes based on new concept of damage control surgery. Selecting ideal timing and appropriate operation on the basis of pathophysiologic changes of retroperitoneum and pancreatitis,A variety of laparoscopy, retroperitoneoscopic and step-up retroperitoneal necrosectomy approaches have also been used for drainage/removal of pancreatic necrosis successfully.

Key words: laparoscopy, severe acute pancreatitis, minimally invasive surgery