Трансгастральная некрэктомия при остром панкреатите

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В обзоре представлены данные литературы о возможностях применения трансгастральной некрэктомии в лечении инфицированных форм острого панкреатита. Приведены показания для выполнения трансгастральной некрэктомии и подробно изложены технические особенности выполнения различных вариантов данного вмешательства — прямой эндоскопической некрэктомии, лапароскопической и открытой трансгастральной некрэктомии. Представлены многочисленные исследования по оценке результатов применения трансгастральной некрэктомии, свидетельствующие о целесообразности использования трансгастральной некрэктомии у тщательно отобранной группы пациентов и требующие междисциплинарного взаимодействия различных специалистов в лечении больных до и после выполнения оперативного вмешательства. Для более широкого практического внедрения миниинвазивных хирургических технологий и персонализации тактики их применения целесообразна организация региональных специализированных центров по лечению тяжелых форм острого панкреатита.

Ключевые слова:

острый панкреатит

эндоскопическая и хирургическая трансгастральная некрэктомия

Авторы:

Эктов В.Н.

ФГБОУ ВО «Воронежский государственный медицинский университет им. Н.Н. Бурденко» Минздрава России

ORCID: 0000-0001-9422-1776

Федоров А.В.

ФГБУ «Национальный медицинский исследовательский центр хирургии им. А.В. Вишневского» Минздрава России;
ФГБОУ ВО «Московский государственный медико-стоматологический университет им. А.И. Евдокимова» Минздрава России

ORCID: 0000-0002-8456-8685

Ходорковский М.А.

ФГБОУ ВО «Воронежский государственный медицинский университет им. Н.Н. Бурденко» Минздрава России

ORCID: 0000-0003-2584-0471

Куркин А.В.

ФГБОУ ВО «Воронежский государственный медицинский университет им. Н.Н. Бурденко» Минздрава России

ORCID: 0009-0008-5217-2097

Дата поступления:

08.02.2024

Дата принятия в печать:

28.02.2024

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