中国普通外科杂志2024，Vol.33Issue(3)：321-329,9.DOI:10.7659/j.issn.1005-6947.2024.03.002
微创入路腹膜后胰腺坏死组织清除术:操作技术与围术期管理
Minimal access retroperitoneal pancreatic necrosectomy:operative techniques and perioperative management
摘要
Abstract
Minimally access retroperitoneal pancreatic necrosectomy(MARPN)is a minimally invasive surgical approach for the treatment of infected pancreatic necrosis(IPN),in which necrotic tissue behind the peritoneum and around the pancreas is cleared using visualized equipment such as nephroscope or flexible endoscope,with the sinus tract as the surgical pathway.However,its popularity still needs to be improved,and further research and discussion are needed on its indications,specific technical details,and postoperative management.In some large-scale pancreatic surgery centers at home and abroad,including the authors'center,MARPN has become the main means of treating IPN,and from the published data,it has shown good therapeutic effects.After years of exploration and practice,the authors'center has accumulated a large number of cases and experiences in MARPN surgery and standardized the steps,procedures,and technical details of the surgery.Here,the authors introduce the operative technique and perioperative management of MARPN,hoping to promote the wider,safer,and more effective implementation of this technique.关键词
胰腺炎,急性坏死性/病灶感染/清创术/最小侵入性外科手术Key words
Pancreatitis,Acute Necrotizing/Focal Infection/Debridement/Minimally Invasive Surgical Procedures分类
医药卫生引用本文复制引用
朱帅,魏伟,黄耿文..微创入路腹膜后胰腺坏死组织清除术:操作技术与围术期管理[J].中国普通外科杂志,2024,33(3):321-329,9.基金项目
湖南省自然科学基金面上基金资助项目(2023JJ30885). （2023JJ30885）
