The Korean Journal of Medicine

  • 제85권2호
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  • Pages.135-140
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  • 2013
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  • 1738-9364(pISSN)
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  • 2289-0769(eISSN)
대한내과학회 (The Korean Association of Internal Medicine)
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급성 췌장염에서의 외과적 접근

Surgical Approach for Acute Pancreatitis

  • 윤유석 (서울대학교 의과대학 분당서울대학교병원 외과)
  • Yoon, Yoo-Seok (Department of Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine)
  • 발행 : 2013.08.01
⟨ 이전 논문 다음 논문 ⟩

초록

Over the last few decades, surgical approach for acute pancreatitis has undergone fundamental changes based on understanding of pathophysiologic mechanism and evidence from clinical studies. This review provides an overview of current indications, timing and techniques of surgical treatment for acute pancreatitis with focus on necrotizing pancreatitis.

키워드

참고문헌

  1. Uhl W, Warshaw A, Imrie C, et al. IAP guidelines for the surgical management of acute pancreatitis. Pancreatology 2002;2:565-573. https://doi.org/10.1159/000067684
  2. Werner J, Feuerbach S, Uhl W, Büchler MW. Management of acute pancreatitis: from surgery to interventional intensive care. Gut 2005;54:426-436. https://doi.org/10.1136/gut.2003.035907
  3. Rodriguez JR, Razo AO, Targarona J, et al. Debridement and closed packing for sterile or infected necrotizing pancreatitis: insights into indications and outcomes in 167 patients. Ann Surg 2008;247:294-299. https://doi.org/10.1097/SLA.0b013e31815b6976
  4. Howard TJ, Patel JB, Zyromski N, et al. Declining morbidity and mortality rates in the surgical management of pancreatic necrosis. J Gastrointest Surg 2007;11:43-49. https://doi.org/10.1007/s11605-007-0112-4
  5. Clancy TE, Benoit EP, Ashley SW. Current management of acute pancreatitis. J Gastrointest Surg 2005;9:440-452. https://doi.org/10.1016/j.gassur.2004.09.027
  6. Mier J, Leon EL, Castillo A, Robledo F, Blanco R. Early versus late necrosectomy in severe necrotizing pancreatitis. Am J Surg 1997;173:71-75. https://doi.org/10.1016/S0002-9610(96)00425-4
  7. Hartwig W, Maksan SM, Foitzik T, Schmidt J, Herfarth C, Klar E. Reduction in mortality with delayed surgical therapy of severe pancreatitis. J Gastrointest Surg 2002;6:481-487. https://doi.org/10.1016/S1091-255X(02)00008-2
  8. Altemeier WA, Alexander JW. Pancreatic abscess: a study of 32 cases. Arch Surg 1963;87:80-89. https://doi.org/10.1001/archsurg.1963.01310130082011
  9. Davidson ED, Bradley EL 3rd. "Marsupialization" in the treatment of pancreatic abscess. Surgery 1981;89:252-256.
  10. Sarr MG, Nagorney DM, Mucha P Jr, Farnell MB, Johnson CD. Acute necrotizing pancreatitis: management by planned, staged pancreatic necrosectomy/debridement and delayed primary wound closure over drains. Br J Surg 1991;78: 576-581. https://doi.org/10.1002/bjs.1800780518
  11. Beger HG, Büchler M, Bittner R, Block S, Nevalainen T, Roscher R. Necrosectomy and postoperative local lavage in necrotizing pancreatitis. Br J Surg 1988;75:207-212. https://doi.org/10.1002/bjs.1800750306
  12. Rau B, Uhl W, Buchler MW, Beger HG. Surgical treatment of infected necrosis. World J Surg 1997;21:155-161. https://doi.org/10.1007/s002689900208
  13. Parikh PY, Pitt HA, Kilbane M, et al. Pancreatic necrosectomy: North American mortality is much lower than expected. J Am Coll Surg 2009;209:712-719. https://doi.org/10.1016/j.jamcollsurg.2009.08.009
  14. Connor S, Raraty MG, Howes N, et al. Surgery in the treatment of acute pancreatitis: minimal access pancreatic necrosectomy. Scand J Surg 2005;94:135-142. https://doi.org/10.1177/145749690509400210
  15. Navaneethan U, Vege SS, Chari ST, Baron TH. Minimally invasive techniques in pancreatic necrosis. Pancreas 2009; 38:867-875. https://doi.org/10.1097/MPA.0b013e3181b3b237
  16. Van Brunschot S, Bakker OJ, Besselink MG, et al. Treatment of necrotizing pancreatitis. Clin Gastroenterol Hepatol 2012;10:1190-1201. https://doi.org/10.1016/j.cgh.2012.05.005
  17. Gambiez LP, Denimal FA, Porte HL, Saudemont A, Chambon JP, Quandalle PA. Retroperitoneal approach and endoscopic management of peripancreatic necrosis collections. Arch Surg 1998;133:66-72. https://doi.org/10.1001/archsurg.133.1.66
  18. Gagner M. Laparoscopic treatment of acute necrotizing pancreatitis. Semin Laparosc Surg 1996;3:21-28.
  19. Cuschieri A. Pancreatic necrosis: pathogenesis and endoscopic management. Semin Laparosc Surg 2002;9:54-63. https://doi.org/10.1053/slas.2002.32875
  20. Van Santvoort HC, Besselink MG, Bakker OJ, et al. A step-up approach or open necrosectomy for necrotizing pancreatitis. N Engl J Med 2010;362:1491-1502. https://doi.org/10.1056/NEJMoa0908821
  21. Windsor JA. Minimally invasive pancreatic necrosectomy. Br J Surg 2007;94:132-133. https://doi.org/10.1002/bjs.5723