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术后胰腺囊治疗的最新情况
Martina Nebbia1, Giovanni Capretti1,2, Gennaro Nappo1,2
1Pancreatic Surgery Unit, IRCCS Humanitas Research Hospital, Via Manzoni, Rozzano.
International journal of surgery (London, England)
|March 22, 2024
概括
术后胰腺 (POPF) 管理正在向保守的方法发展. 本综述为B级和C级POPF提供基于证据的策略,以指导临床实践.
科学领域:
- 胃肠病学 胃肠病学
- 手术瘤学手术瘤学
- 肝胆道手术 肝胆道手术
背景情况:
- 手术后胰腺 (POPF) 是胰腺切除后的常见和严重并发症.
- POPF显著增加了患者的发病率和死亡率.
- 目前B级和C级POPF的管理缺乏共识,依赖于当地专业知识和患者状况.
研究的目的:
- 提供对POPF管理策略的最新,基于证据的概述.
- 在临床实践中指导外科医生和医生处理POPF.
- 解决持续需要标准化管理严重的POPF的需要.
主要方法:
- 审查现有的关于POPF预防和管理的文献.
- 对POPF治疗策略当前趋势的分析.
- 综合证据以支持更新的管理建议.
主要成果:
- 虽然POPF发病率保持稳定,但由于管理改善,死亡率有所下降.
- 随着时间的推移,管理策略变得越来越保守.
- 证据支持转向对POPF的侵袭性干预措施较少.
结论:
- 对于POPF来说,保守的管理越来越受青.
- 基于证据的方法对于优化POPF结果至关重要.
- 为了规范护理,需要进一步就管理B级和C级POPF达成共识.
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