Медицинская литература. Новинки

 

 

 

 

 

 

Транслюминальная и ретроперитонеальная мини-инвазивная некрэктомия при остром панкреатите

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В обзоре представлены данные литературы о возможностях мини-инвазивной некрэктомии при инфицированных формах острого некротизирующего панкреатита. Подробно изложена информация о терминологии, показаниях и технических особенностях выполнения основных вариантов мини-инвазивной хирургической санации некротических скоплений - эндоскопической транслюминальной некрэктомии, видеоассистированной забрюшинной хирургической обработки и мини-инвазивной забрюшинной некрэктомии. Представлены результаты многочисленных исследований по оценке их эффективности и возможным вариантам комбинированного применения. Приведены материалы актуальных международных клинических рекомендаций, свидетельствующие о целесообразности выполнения мини-инвазивной некрэктомии в рамках поэтапной стратегии лечения больных острым некротизирующим панкреатитом.

Ключевые слова:
поджелудочная железа, острый панкреатит, панкреонекроз, эндоскопическая транслюминальная некрэктомия, видеоассистированная забрюшинная хирургическая обработка, мини-инвазивная забрюшинная некрэктомия, pancreas, acute pancreatitis, pancreatic necrosis, endoscopic transluminal necrosectomy, video-assisted retroperitoneal debridement, minimally invasive retroperitoneal necrosectomy

Литература:
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Transluminal and retroperitoneal minimally invasive necrosectomy in acute pancreatitis

The research review presents literature data on the possibilities of performing minimally invasive necrosectomy for infected forms of acute necrotizing pancreatitis. The paper provides detailed information concerning the terminology, indications for, and technical features of implementing the principal methods of minimally invasive surgical debridement of necrotic accumulations. The techniques include endoscopic transluminal necrosectomy, videoassisted retroperitoneal debridement, and minimally invasive retroperitoneal necrosectomy. The review describes results of numerous studies on the evaluation of their effectiveness and possible options for their combined use. Additionally, we present the materials of relevant international clinical guidelines which indicate the viability of performing minimally invasive necrosectomy as part of a phased strategy for the treatment of patients with acute necrotizing pancreatitis.

Keywords:
поджелудочная железа, острый панкреатит, панкреонекроз, эндоскопическая транслюминальная некрэктомия, видеоассистированная забрюшинная хирургическая обработка, мини-инвазивная забрюшинная некрэктомия, pancreas, acute pancreatitis, pancreatic necrosis, endoscopic transluminal necrosectomy, video-assisted retroperitoneal debridement, minimally invasive retroperitoneal necrosectomy