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胰腺假性囊肿:近期治疗的困境(综述)

Pancreatic pseudocyst: Dilemma of its recent management (Review).

作者信息

Tan Jonathan Hartanto, Chin Wenjie, Shaikh Abdul Lateef, Zheng Shusen

机构信息

Division of Hepatobiliary and Pancreatic Surgery, Department of Surgery, The First Affiliated Hospital, School of Medicine, Zhejiang University, National Health Commission of China Key Laboratory of Combined Multi-Organ Transplantation, Key Laboratory of Diagnosis and Treatment of Organ Transplantation, Chinese Academy of Medical Sciences, Key Laboratory of Organ Transplantation, Hangzhou, Zhejiang 310003, P.R. China.

出版信息

Exp Ther Med. 2021 Feb;21(2):159. doi: 10.3892/etm.2020.9590. Epub 2020 Dec 18.

DOI:10.3892/etm.2020.9590
PMID:33456526
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7792492/
Abstract

Advances in radiological techniques have led to an increase in the number of diagnoses of pancreatic pseudocyst, which is the most common pancreatic cyst lesion disease, accounting for two-thirds of all pancreatic cyst lesions. Historically, the management of pancreatic pseudocyst has been achieved through the use of conservative treatments and surgery; however, due to the complications and recurrence rate associated with these techniques, the management of pancreatic pseudocyst is challenging. Surgeons and gastroenterologists have attempted to determine the optimal management technique to treat pancreatic pseudocyst to reduce complications and the recurrence rate. From these investigations, percutaneous catheter, surgical and endoscopic drainage with ultrasonography guidance have become promising management techniques. The present review aimed to summarize the diagnostic and therapeutic methods used for the management of pancreatic pseudocyst and to compare percutaneous catheter, surgical and endoscopic drainage.

摘要

放射技术的进步导致胰腺假性囊肿的诊断数量增加,胰腺假性囊肿是最常见的胰腺囊性病变疾病,占所有胰腺囊性病变的三分之二。从历史上看,胰腺假性囊肿的治疗一直通过保守治疗和手术来实现;然而,由于这些技术相关的并发症和复发率,胰腺假性囊肿的治疗具有挑战性。外科医生和胃肠病学家试图确定治疗胰腺假性囊肿的最佳管理技术,以减少并发症和复发率。通过这些研究,在超声引导下的经皮导管引流、手术引流和内镜引流已成为有前景的管理技术。本综述旨在总结用于管理胰腺假性囊肿的诊断和治疗方法,并比较经皮导管引流、手术引流和内镜引流。

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本文引用的文献

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A novel self-expanding biflanged metal stent vs tubular metal stent for EUS-guided transmural drainage of pancreatic pseudocyst: A retrospective, cohort study.新型自膨式双凸缘金属支架与管状金属支架用于超声内镜引导下经壁引流胰腺假性囊肿的回顾性队列研究
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Endoscopic Interventions in Acute Pancreatitis: What the Advanced Endoscopist Wants to Know.急性胰腺炎的内镜介入治疗:高级内镜医师想知道的内容
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Metal versus plastic stents for drainage of pancreatic fluid collection: A meta-analysis.金属支架与塑料支架用于胰液引流的荟萃分析。
United European Gastroenterol J. 2018 Jun;6(5):729-738. doi: 10.1177/2050640618761702. Epub 2018 Feb 28.
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Endoscopic management of pancreatic duct disruption with large mediastinal pseudocyst.内镜治疗合并巨大纵隔假性囊肿的胰管破裂
VideoGIE. 2018 Mar 16;3(5):162-165. doi: 10.1016/j.vgie.2018.01.013. eCollection 2018 May.
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Think opposite: biliary guidewire-assisted pancreatic cannulation in chronic pancreatitis for transpapillary pseudocyst drainage.反向思维:慢性胰腺炎经乳头假性囊肿引流中胆管导丝辅助胰管插管术
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