Transluminal and retroperitoneal minimally invasive necrosectomy in acute pancreatitis
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Published:2022-09-20
Issue:3
Volume:27
Page:81-91
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ISSN:2408-9524
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Container-title:Annaly khirurgicheskoy gepatologii = Annals of HPB Surgery
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language:
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Short-container-title:Ann. hir. gepatol.
Author:
Fedorov A. V.1ORCID, Ektov V. N.2ORCID, Khodorkovskiy M. A.2ORCID
Affiliation:
1. A.I. Evdokimov Moscow State University of Medicine and Dentistry of the Ministry of Healthcare of the Russian Federation 2. Voronezh State Medical University named after N.N. Burdenko of the Ministry of Healthcare of the Russian Federation
Abstract
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.
Publisher
Annals of Surgical Hepatology
Subject
Gastroenterology,Hepatology,Surgery
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