Department of General Surgery, Marshfield Clinics and Saint Joseph's Hospital, 1000 North Oak Avenue, Marshfield, WI 54449, USA.
Surg Clin North Am. 2013 Jun;93(3):595-610. doi: 10.1016/j.suc.2013.02.007. Epub 2013 Mar 29.
Acute pancreatitis comprises a range of diseases. Clinical manifestations range from mild symptoms to a life-threatening or life-ending process. Operative management is focused on managing the acute complications, the long-term sequelae, or the prevention of recurrent pancreatitis. Using the least amount of intervention is the goal. However, the evolution of videoscopic and endoscopic techniques have greatly expanded the tools available. This article provides a review of the three major categories of operations: ameliorating the emergent problems associated with the inflammatory state, ameliorating chronic sequelae, and prevention of a subsequent episode.
急性胰腺炎是一组疾病。临床表现从轻度症状到危及生命或致死性过程不等。手术治疗的重点是处理急性并发症、长期后遗症或预防复发性胰腺炎。使用最少的干预措施是目标。然而，内镜和腹腔镜技术的发展极大地扩展了可用的工具。本文综述了三大类手术：改善与炎症状态相关的紧急问题、改善慢性后遗症和预防后续发作。
