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Khirurgii

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Year 2011 Vol. 19 No 5

LECTURES, REVIEWS

A.A. LITVIN, V.M. KHOKHA, V.N. LURYE

CURRENT TRENDS IN SURGICAL TREATMENT OF ACUTE NECROTIZING PANCREATITIS AND INFECTED PANCREATIC NECROSIS

Current trends in the surgical treatment of acute necrotizing pancreatitis and infected pancreatic necrosis are revealed in the review article. The authors analyze the options of “open” and minimally invasive treatment of severe acute pancreatitis and its septic complications. Current trends in the surgical treatment of acute necrotizing pancreatitis and infected pancreatic necrosis are: minimally invasiveness; performing of operations at a later date; types of an operation and drainage are determined by the predominance of liquid or solid component, pancreatic or peripancreatic necrosis, the appearance of acute fluid collection or acute post-necrotic collection; enhancing the role of ultrasound, CT, MRI; step-up surgical approach.

Keywords: acute necrotizing pancreatitis, infected pancreatic necrosis, surgical treatment
p. 138 – 146 of the original issue
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