Kirks Russell C, Sola Richard, Iannitti David A, Martinie John B, Vrochides Dionisios
Division of Hepatobiliary and Pancreatic Surgery, Department of General Surgery, Carolinas Medical Center, Charlotte, North Carolina, USA.
J Vis Surg. 2016 Jul 26;2:127. doi: 10.21037/jovs.2016.07.04. eCollection 2016.
Pancreatic and peripancreatic fluid collections may develop after severe acute pancreatitis. Organized fluid collections such as pancreatic pseudocyst and walled-off pancreatic necrosis (WOPN) that mature over time may require intervention to treat obstructive or constitutional symptoms related to the size and location of the collection as well as possible infection. Endoscopic, open surgical and minimally invasive techniques are described to treat post-inflammatory pancreatic fluid collections. Surgical intervention may be required to treat collections containing necrotic pancreatic parenchyma or in locations not immediately apposed to the stomach or duodenum. Comprising a blend of the surgical approach and the clinical benefits of minimally invasive surgery, the robot-assisted technique of pancreatic cystgastrostomy with pancreatic debridement is described.
重症急性胰腺炎后可能会出现胰腺及胰周液体积聚。随着时间推移逐渐成熟的有组织的液体积聚，如胰腺假性囊肿和包裹性胰腺坏死（WOPN），可能需要进行干预，以治疗与液体积聚的大小和位置相关的梗阻性或全身性症状以及可能的感染。本文描述了用于治疗炎症后胰腺液体积聚的内镜、开放手术和微创技术。对于含有坏死胰腺实质的液体积聚或位于未紧邻胃或十二指肠的部位，可能需要进行手术干预。本文还描述了结合手术方法和微创手术临床益处的机器人辅助胰腺囊肿胃吻合术联合胰腺清创技术。
