Wysocki A Peter, McKay Colin J, Carter C Ross
Department of Surgery, Logan Hospital, Meadowbrook, Queensland, Australia.
ANZ J Surg. 2010 Jan;80(1-2):58-70. doi: 10.1111/j.1445-2197.2009.05177.x.
The challenge for the pancreatologist managing patients with infected pancreatic necrosis is to devise a treatment algorithm that enables recovery but at the same time limits the morbidity and mortality. The current gold standard remains open necrosectomy. Recent literature contains scattered reports of endoscopic, radiologic, laparoscopic, percutaneous and lumbotomy approaches to managing patients with this condition. This literature review addresses the role of techniques that aim to minimize the physiological insult to the patient with infected pancreatic necrosis.
对于治疗感染性胰腺坏死患者的胰腺病学家而言，挑战在于设计出一种治疗方案，既能促使患者康复，又能同时降低发病率和死亡率。目前的金标准仍是开放性坏死组织清除术。近期文献中有一些关于采用内镜、放射、腹腔镜、经皮及腰椎切开术等方法治疗此类患者的零散报道。这篇文献综述探讨了旨在将感染性胰腺坏死对患者生理损害降至最低的技术所起的作用。
