胰腺伪囊:治疗方法的演变
Paulina Kluszczyk1, Aleksandra Tobiasz1, Adam Madej1
1Student Scientific Society, Department of Digestive Tract Surgery, Faculty of Medical Sciences in Katowice, Medical University of Silesia, 40-752 Katowice, Poland.
Journal of clinical medicine
|September 13, 2025
概括
胰腺伪囊 (PPCs) 管理已经从开放式手术发展到微创内镜技术,如LAMSs. 现在,由于其安全性,疗效和成本效益在治疗这些胰腺炎并发症方面,人们更喜欢内镜排水.
科学领域:
- 胃肠病学 胃肠病学
- 手术创新 在外科创新.
- 医疗技术 医疗技术 医学技术
背景情况:
- 胰腺伪囊 (PPC) 是胰腺炎的常见并发症.
- 历史上用开放式手术治疗,管理已经有了显著的进步.
研究的目的:
- 为了回顾PPC管理的历史演变.
- 概述PPC治疗的当前标准和新兴策略.
主要方法:
- 对PPC管理的历史进展和当前标准的全面审查.
- 对保守,手术,腹腔镜和内镜干预的分析.
- 综合现有证据和专家指南.
主要成果:
- 保守的管理适用于稳定,无症状的PPC.
- laparoscopic 和 endoscopic 的方法提供较少的发病率.
- 用LAMS进行内镜超声波导向的跨壁排水是由于有效性,安全性和成本效益而首选的模式.
结论:
- 对于PPCs的治疗范式已经转向最少的侵入性技术.
- 内镜排水代表了许多PPC目前的护理标准.
- 新兴技术有望在PPC管理方面取得进一步的进步.
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