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经皮胰腺坏死组织清除术:一例胰腺插管困难的病例

Percutaneous pancreatic necrosectomy: a case of difficult pancreatic intubation.

作者信息

Choi Julian M, Mulligan Michelle, Hugh Thomas J, Gananadha Sivakumar, Samra Jaswinder Singh

机构信息

Upper Gastrointestinal Surgical Unit, Royal North Shore Hospital and North Shore Private Hospital, University of Sydney, St Leonards, NSW, Australia.

出版信息

Surg Laparosc Endosc Percutan Tech. 2012 Jun;22(3):e126-8. doi: 10.1097/SLE.0b013e31824ea56b.

DOI:10.1097/SLE.0b013e31824ea56b
PMID:22678331
Abstract

A significant percentage of patients with necrotizing pancreatitis will develop an infected pancreatic necrosis that contributes to the morbidity and mortality. Infected pancreatic necrosis requires drainage and debridement. This can be performed percutaneously or surgically. Surgical management may be performed with open or minimally invasive techniques. There has been a trend toward minimally invasive surgical management in recent years. Minimally invasive management requires effective drainage through the use of large-bore drain catheters. We describe a technique that facilitates the insertion of large-bore drainage tubes within the pancreatic collections.

摘要

相当比例的坏死性胰腺炎患者会发展为感染性胰腺坏死,这会增加发病率和死亡率。感染性胰腺坏死需要进行引流和清创。这可以通过经皮或手术方式进行。手术治疗可以采用开放或微创技术。近年来,微创外科治疗呈上升趋势。微创治疗需要通过使用大口径引流导管进行有效引流。我们描述了一种有助于在胰腺积液内插入大口径引流管的技术。

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