Division of Gastroenterology/Hepatology, Indiana University Medical Center, 550 N. University Blvd., Suite 4100, Indianapolis, IN 46202, USA.
J Gastrointest Surg. 2011 Jul;15(7):1098-100. doi: 10.1007/s11605-011-1505-y. Epub 2011 Apr 15.
Traditionally, patients with symptomatic sterile pancreatic necrosis or infected necrosis have been managed by open surgical debridement and removal of necrotic tissue. Within the last decade, however, reports of endoscopic pancreatic necrosectomy, an alternative minimally invasive approach, have demonstrated high success rates and low mortality rates. This report describes the indications, technique, and study outcome data of the procedure. While our experience with this technique has recently increased, better selection criteria are needed to identify patients who are most suitable for endoscopic therapy.
传统上，有症状的无菌性胰腺坏死或感染性坏死的患者通过开放式外科清创术和坏死组织清除术进行治疗。然而，在过去十年中，内镜下胰腺坏死切除术（一种替代的微创方法）的报告显示出了高成功率和低死亡率。本报告描述了该手术的适应证、技术和研究结果数据。虽然我们最近增加了对此项技术的经验，但需要更好的选择标准来确定最适合内镜治疗的患者。
