慢性胰腺炎疼痛的外科治疗
Surgical treatment of pain in chronic pancreatitis.
作者信息
Skube Mariya E, Beilman Greg J
机构信息
Department of Surgery, University of Minnesota, Minneapolis, Minnesota, USA.
出版信息
Curr Opin Gastroenterol. 2018 Sep;34(5):317-321. doi: 10.1097/MOG.0000000000000460.
PURPOSE OF REVIEW
Patients suffering from chronic pancreatitis often require surgical intervention to treat their disease. This review discusses surgical options as well as reviews current trends and research in the operative management of chronic pancreatitis.
RECENT FINDINGS
Relevant current topics in the field include the appropriate timing of surgery as well as the relative benefits of various procedures, particularly duodenum-preserving pancreatic head resection versus pancreaticoduodenectomy. Multiple studies have found that surgery earlier in the disease course results in improved outcomes. Furthermore, the recent literature reports similar outcomes of duodenum-preserving pancreatic head resection when compared with pancreaticoduodenectomy.
SUMMARY
It is important for treating clinicians to be well versed on the interplay of medical, endoscopic, and surgical strategies to carefully tailor a patient's treatment plan. Each patient warrants careful consideration and an individualized approach in collaboration with multidisciplinary colleagues.
综述目的
慢性胰腺炎患者常需手术干预来治疗疾病。本综述讨论手术选择，并回顾慢性胰腺炎手术治疗的当前趋势和研究。
最新发现
该领域当前的相关主题包括手术的合适时机以及各种手术的相对益处，尤其是保留十二指肠的胰头切除术与胰十二指肠切除术的比较。多项研究发现，在疾病进程早期进行手术可改善预后。此外，近期文献报道保留十二指肠的胰头切除术与胰十二指肠切除术的预后相似。
总结
治疗临床医生熟悉医学、内镜和手术策略之间的相互作用，以精心制定患者的治疗方案非常重要。每位患者都需要仔细考虑，并与多学科同事合作采取个体化方法。
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