History and present status of treatment of acute necrotizing pacreatitis: a breakthrough in the past two decades / 中华外科杂志

ABSTRACT

For more than one hundred years, the surgery and non-surgery around acute necrosis pancreatitis, early and late stage-operative surgery have been strive explored, and every change in treatment concept, technological progress and breakthrough in efficacy have been gradually summarized and improved in practice.Clinical practice and basic research gradually clarified the understanding of the pathological physiological process of acute necrosis pancreatitis "two peaks of death", greatly improved the treatment of early organ failure, deepened the understanding of the diversity of pathological of local complications of acute necrosis pancreatitis, and changed the treatment mode of necrosis pancreatitis. A modern comprehensive treatment system has been gradually formed. That is, in the early stage of the disease, to prevent and control multi-organ failure as the main axis; In the later stage, to explore the best surgical intervention time as the main axis, the implementation of micro-invasive and open combination of intervention strategy, and strive to explore and improve the success rate of one-time surgery. At present, China′s treatment level of acute necrosis pancreatitis in many large-capacity centers is in the forefront of the world. Through the Pancreatic Surgery Group of Surgery Society of Chinese Medical Association′s tour of the Guide and a large number of academic exchanges, the level of treatment of necrosis pancreatitis in China′s primary hospitals is also constantly improving. Therefore, we have reasons to believe that the day when China′s acute necrotizing pancreatitis diagnosis and treatment level can break further will not be far away.