感染性胰腺坏死的微创外科处理策略、技术及评价OA北大核心CSTPCD

Acute pancreatitis(AP)is a common surgical acute abdomen with an increasing incidence rate annually,which brings significant economic and social burdens.About 30%of cases of necrotizing pancreatitis will develop secondary infections and progress to infected pancreatic necrosis(IPN),which is difficult to treat and carries mortality of up to 30%.With the development of minimally invasive treatment technology,the"step-up"approach centered on minimally invasive surgery has improved the prognosis of patients and received consistent recommendations from many guidelines.Currently,there are various minimally invasive surgical methods for IPN in China,which have achieved good efficacy according to the reports from various centers.However,it is crucial to acknowledge that IPN is a disease with considerable individual variability,multiple complications,complicated treatment processes,and high mortality.Therefore,it is necessary to emphasize the treatment strategy of minimally invasive surgery for IPN,evaluate the advantages and disadvantages of current technologies,and promote the concept of minimally invasive surgery.