Surgical intervention strategies for local complications of severe acute pancreatitis / 中华消化外科杂志

ABSTRACT

The second "death peak" in the late stage of severe acute pancreatitis (SAP), dominated by infectious pancreatic necrosis (IPN), is a challenge in clinical management. Surgeons play an important role in choosing the indication, timing, strategy and mode of the surgical intervention. Simultaneously, the early prediction and recognition, post-operative management and cooperation of IPN need to be strengthened. Nowadays, some new characteristics including minimal invasiveness, staging, multi-disciplinization, profe-ssionalization and diversi-fication emerge in the modern surgical intervention of IPN. Clinicians should establish a comprehensive treatment system centered on diseases. In addition, clinicians should also pay attention to non-infectious local complications of SAP to prevent the diseases. Based on clinical practice, the authors investigate the clinical practice of surgical intervention for local complications of SAP in order to further improve the overall cure rate of SAP patients in the later period.