在初始VARD治疗瘤性胰腺炎后进行连续皮肤透视内镜性瘤切除术 (SPEN):一项回顾性单中心观察性研究
Julian Palzer1,2, Till Herbold3,4, Karim Hamesch5,4
1Department of General, Visceral, Pediatric and Transplant Surgery, RWTH University Hospital Aachen, Pauwelsstr. 30, 52074, Aachen, Germany. jpalzer@ukaachen.de.
Surgical endoscopy
|February 4, 2026
概括
连续穿皮内镜性瘤切除术 (SPEN) 提供了一种安全有效的微创性治疗瘤性胰腺炎 (NP). 这种新的方法结合了手术和内镜技术,改善了耐火病例的结果.
科学领域:
- 胃肠病学 胃肠病学
- 最少侵入性的手术
- 内镜手术 进行内镜手术
背景情况:
- 末性胰腺炎 (NP) 是一种严重的急性胰腺炎 (AP),存活率低.
- 治疗趋势倾向于采用不那么侵袭的,逐步增强的方法.
- 治疗耐药的NP需要新的治疗策略.
研究的目的:
- 评估连续穿皮内镜性瘤切除术 (SPEN) 对治疗耐药的NP的安全性和有效性.
- 提出一种结合微创手术和内镜性瘤切除术的新型治疗方法.
主要方法:
- 在排水和VARD失败后,SPEN应用于19名治疗不耐药的NP患者.
- 在SPEN手术中不需要全身麻醉或手术室.
- 结果与其他治疗方法的数据进行了比较.
主要成果:
- 该队列包括患有器官衰竭的重病患者,需要接受ICU治疗.
- 每位患者平均进行了4.3次SPEN (范围为1-14).
- 没有观察到任何重大并发症,只有根据克拉维恩-丁多分类的轻微并发症.
结论:
- SPEN是一种安全有效的新型治疗瘤性胰腺炎的新疗法.
- 这种方法结合了外科手术和内镜性尸体切除术的优势.
- 基于疾病进展,SPEN提供了节约资源的好处和动态的应用性.
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