Akute Pankreatitis: Minimalinvasiver und interventioneller Ansatz bei infizierten Pankreasnekrosen

Zusammenfassung

Die Nekrosektomie bei infizierten Nekrosen nach akuter Pankreatitis wurde in den vergangenen Jahren durch die Einführung einer Vielzahl von interventionellen und minimalinvasiven Techniken revolutioniert. In der vorliegenden Arbeit liefern wir eine Übersicht und Wertung des Armamentariums minimalinvasiver chirurgischer und interventioneller Techniken. Laparoskopisch-endoskopische Kombinationsverfahren und minimalinvasive Verfahren liefern viel versprechende Ergebnisse, müssen sich aber an den Ergebnissen der etablierten offenen chirurgischen Verfahren messen und erfordern eine Evaluation in größeren Serien.

Abstract

Necrosectomy of infected necroses after acute pancreatitis was revolutionized in recent years by introduction of a number of interventional and minimal invasive techniques. In the present article we review and evaluate the armamentarium of minimal invasive surgical and interventional techniques. Laparoscopic-endoscopic rendezvous manoeuvres and minimal invasive operations deliver promising results, have however to be compared to results of long standing open surgery and warrant an evaluation in larger series.

Schlüsselwörter

akute Pankreatitis - Nekrosen - minimalinvasive Chirurgie - Intervention - Übersichtsarbeit

Key words

acute pancreatitis - necrosis - minimal invasive surgery - intervention - review

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