切换至 "中华医学电子期刊资源库"

中华胃肠内镜电子杂志 ›› 2022, Vol. 09 ›› Issue (01) : 41 -44. doi: 10.3877/cma.j.issn.2095-7157.2022.01.020

综述

胰腺液体积聚的微创治疗进展
张波1, 柴宁莉1, 李隆松1, 高飞2, 令狐恩强1,()   
  1. 1. 100853 北京,解放军总医院第一医学中心消化内科
    2. 100853 北京,解放军总医院第一医学中心消化内科;350303 福建,解放军73123部队
  • 收稿日期:2021-08-02 出版日期:2022-02-15
  • 通信作者: 令狐恩强
  • 基金资助:
    国家重点研发计划(2016YFC1303601)

Advances in minimally invasive therapy of pancreatic fluid collection

Bo Zhang1, Ningli Chai1, Longsong Li1, Fei Gao2, Enqiang Linghu1,()   

  1. 1. Department of Gastroenterology and Hepatology, First Medical Center of the Chinese PLA General Hospital, Beijing 100853, China
    2. Department of Gastroenterology and Hepatology, First Medical Center of the Chinese PLA General Hospital, Beijing 100853, China; Unit 73123, PLA Ground Force, Fujian 350303, China
  • Received:2021-08-02 Published:2022-02-15
  • Corresponding author: Enqiang Linghu
引用本文:

张波, 柴宁莉, 李隆松, 高飞, 令狐恩强. 胰腺液体积聚的微创治疗进展[J]. 中华胃肠内镜电子杂志, 2022, 09(01): 41-44.

Bo Zhang, Ningli Chai, Longsong Li, Fei Gao, Enqiang Linghu. Advances in minimally invasive therapy of pancreatic fluid collection[J]. Chinese Journal of Gastrointestinal Endoscopy(Electronic Edition), 2022, 09(01): 41-44.

胰腺液体积聚(PFC)是胰腺损伤后常见的并发症,PFC根据其病程长短、囊壁及内容物情况分为四类。PFC的治疗传统以经皮穿刺置管引流术(PCD)和外科手术为主。随着医疗技术的不断进步,目前微创技术已成为首选治疗方案,包括超声内镜引导下胰腺假性囊肿引流术、微创腹膜后入路胰腺坏死组织清除术等。本文对PFC的定义、分类及常见微创技术进行综述。

Pancreatic fluid collection (PFC) is a common complication after pancreatic injury. PFC can be divided into four categories according to the course of disease, the cystic wall and contents of the PFC. The traditional treatment of PFC is percutaneous catheter drainage (PCD) and surgery.With the continuous progress of medical technology, minimally invasive technology is the first choice, including endoscopic ultrasound-guided pancreatic pseudocyst drainage, minimally invasive retroperitoneal pancreatic necrotic tissue removal, etc. This paper reviews the definition, classification and common minimally invasive techniques of PFC.

[1]
Banks PA, Bollen TL, Dervenis C,et al.Classification of acute pancreatitis--2012:revision of the Atlanta classification and defnitions by international consensus[J].Gut201362(1):102-111.
[2]
Rodrigues-Pinto E, Baron TH. Evaluation of the AXIOS stent for the treatment of pancreatic fluid collections[J]. Expert Rev Med Devices, 2016, 13(9): 793-805.
[3]
ASGE Standards of Practice Committee,Muthusamy VR,,Chandrasekhara V,et al.The role of endoscopy in the diagnosis and treatment of inflammatory pancreatic fluid collections[J].Gastrointest Endosc201683(3):481-488.
[4]
Topazian M.Endoscopic ultrasound-guided drainage of pancreatic fluid collections(with video)[J].Clin Endosc201245(3):337-340.
[5]
Rana SS, Bhasin DK, Sharma RK,et al.Do the morphological features of walled off pancreatic necrosis on endoscopic ultrasound determine the outcome of endoscopic transmural drainage[J].Endosc Ultr20143(2):118-122.
[6]
肖波,张小明,徐海波.急性胰腺炎的影像术语:胰腺假性囊肿与胰腺包裹性坏死(二)[J].放射实践学201934(11):1207-1211.
[7]
van Baal MC, van Santvoort HC, Bollen TL, et al.Systematic review of percutaneous catheter drainage as primary treatment for necrotizing pancreatitis[J].Br J Surg201198(1):18-27.
[8]
van Santvoort HC, Besselink MG, Bakker OJ,et al.A step-up approach or open necrosectomy for necrotizing pancreatitis[J]. N Engl J Med, 2010362(16):1491-502.
[9]
van Brunschot S, van Grinsven J, Voermans RP,et al.Transluminal endoscopic step-up approach versus minimally invasive surgical step-up approach in patients with infected necrotising pancreatitis (TENSION trial):design and rationale of a randomised controlled multicenter trial [ISRCTN09186711][J].BMC Gastroenterol201313:161.
[10]
Kitano M, Sakamoto H, Komaki T,et al.Present status and future perspective of EUS-guided drainage[J].Dig Endosc200921(Suppl 1):S66-70.
[11]
柴宁莉,杜晨,翟亚奇,等.中国胰瘘消化内镜诊治专家共识(2020,北京)[J/CD].中华胃肠内镜电子杂志2020, 7(3): 97-107.
[12]
Varadarajulu S, Bang JY, Phadnis MA,et al.Endoscopic transmural drainage of peripancreatic fluid collections:outcomes and predictors of treatment success in 211 consecutive patients[J].J Gastrointest Surg201115(11):2080-2088.
[13]
Bang JY, Hawes R, Bartolucci A,et al.Efficacy of metal and plastic stents for transmural drainage of pancreatic fluid collections:a systematic review[J]. Dig Endosc201527(4):486-498.
[14]
Sharaiha RZ, DeFilippis EM, Kedia P,et al. Metal versus plastic for pancreatic pseudocyst drainage:clinical outcomes and success[J]. Gastrointest Endosc201582:822-827.
[15]
翟亚奇,柴宁莉,李惠凯,等.新型哑铃样金属支架:沟通内外科的"新桥梁" [J].中华消化内镜杂志202037(4):233-238.
[16]
Kumar N, Conwell DL, Thompson CC.Direct endoscopic necrosectomy versus step-up approach for walled-off pancreatic necrosis:comparison of clinical outcome and health care utilization[J].Pancreas201443(8):1334-1339.
[17]
陈丽娟,钟宁,郭志国,等.内镜清创术对急性胰腺炎包裹性坏死并感染的疗效观察(含视频)[J].中华消化内镜杂志201936(7):514-517.
[18]
Walter D, Will U, Sanchez-Yague A,et al.A novel lumen-apposing metal stent for endoscopic ultrasound-guided drainage of pancreatic fluid collections:a prospective cohort study[J].Endoscopy201547(1):63-67.
[19]
Siddiqui AA, Adler DG, Nieto J,et al.EUS-guided drainage of peripancreatic fluid collections and necrosis using a novel lumen-apposing stent:a large retrospective,multicenter U.S. experience (with videos)[J]. Gastrointest Endosc, 2016, 83(4):699-707.
[20]
Arvanitakis M, Dumonceau JM, Albert J,et al. Endoscopic management of acute necrotizing pancreatitis:European Society of Gastrointestinal Endoscopy (ESGE) evidence-based multidisciplinary guidelines[J]. Endoscopy201850(5):524-546.
[21]
Hammad T, Khan MA, Alastal Y,et al.Efficacy and Safety of Lumen-Apposing Metal Stents in Management of Pancreatic Fluid Collections:Are They Better Than Plastic Stents A Systematic Review and Meta-Analysis[J]. Dig Dis Sci, 201863(2):289-301.
[22]
Han D, Inamdar S, Lee CW,et al.Lumen apposing metal stents (LAMSs)for drainage of pancreatic and gallbladder collections:A Meta-analysis[J]. J Clin Gastroenterol, 201852(9):835-844.
[23]
Bang JY, Navaneethan U, Hasan MK,et al.Non-superiority of lumen-apposing metal stents over plastic stents for drainage of walled-off necrosis in a randomised trial[J].Gut201968(7):1200-1209.
[24]
Portelli M, Jones CD. Severe acute pancreatitis:pathogenesis, diagnosis and surgical management[J].Hepatobiliary Pancreat Dis Int, 201716(2):155-159.
[25]
中华医学会消化病学分会胰腺疾病学组,中华胰腺病杂志编辑委员会,中华消化杂志编辑委员会.中国急性胰腺炎诊治指南(2019年,沈阳)[J].临床肝胆病杂志201935(12),2706-2711.
[26]
Gomatos IP, Halloran CM, Ghaneh P,et al.Outcomes from minimal access retroperitoneal and open pancreatic necrosectomy in 394 patients with necrotizing pancreatitis[J].Ann Surg2016263(5):992-1001.
[27]
周伟,崔静,勾善淼,等.腹膜后入路胰腺坏死组织清除术治疗感染坏死性胰腺炎的临床疗效[J].中华消化外科杂志201918(10): 946-950.
[28]
蔡守旺,王鹏飞,刘志伟,等.腹膜后入路肾镜下感染性坏死性胰腺炎的治疗方法的改进与效果[J]. 中华肝胆外科杂志201218,(6):439-441.
[29]
张翠生,唐锟,隋璐璐,等.腹膜后入路小切口手术与经皮肾镜治疗胰腺坏死感染的对比研究[J].临床外科杂志201725(10):745-747.
[30]
van Brunschot S, van Grinsven J, van Santvoort HC,et al.Endoscopic or surgical step-up approach for infected necrotising pancreatitis:a multicentre randomised trial[J].Lancet2018391(10115):51-58.
[31]
van Brunschot S, Hollemans RA, Bakker OJ,et al.Minimally invasive and endoscopic versus open necrosectomy for necrotising pancreatitis:a pooled analysis of individual data for 1980 patients[J].Gut201867(4):697-706.
[32]
Gooszen HG, Besselink MG, van Santvoort HC,et al.Surgical treatment of acute pancreatitis[J].Langenbecks Arch Surg2013398(6):799-806.
[33]
Roch AM, Maatman T, Carr RA,et al.Evolving treatment of necrotizing pancreatitis[J].Am J Surg2018215(3):526-529.
[1] 郭璐琦, 赵雅琦, 李霁欣, 周兰, 林金鹏, 张子砚, 李俊杰, 王少白. 免荷矫形器对膝骨关节炎的生物力学影响的研究进展[J]. 中华关节外科杂志(电子版), 2023, 17(04): 560-565.
[2] 刘虹宏, 杨永红, 张冬花, 林运. 老年冠脉分叉病变主支支架植入后在损伤边支使用药物涂层球囊进行修复的临床研究[J]. 中华损伤与修复杂志(电子版), 2023, 18(05): 387-393.
[3] 张海涛, 康婵娟, 翟静洁. 胰管支架置入治疗急性胆源性胰腺炎效果观察[J]. 中华普外科手术学杂志(电子版), 2023, 17(06): 654-657.
[4] 钟文文, 李科, 刘碧好, 蔡炳, 脱颖, 叶雷, 马波, 瞿虎, 汪中扬, 王德娟, 邱剑光. 不同比例聚乳酸/丝素蛋白复合支架在兔尿道缺损修复中的疗效[J]. 中华腔镜泌尿外科杂志(电子版), 2023, 17(05): 516-522.
[5] 张翼飞, 郭强, 赖华健, 钟文文, 叶雷, 马波, 瞿虎, 尧冰, 邱剑光, 王德娟. 加速康复外科在儿童尿道下裂围术期的应用效果分析[J]. 中华腔镜泌尿外科杂志(电子版), 2023, 17(04): 367-371.
[6] 范小彧, 孙司正, 鄂一民, 喻春钊. 梗阻性左半结肠癌不同手术治疗方案的选择应用[J]. 中华结直肠疾病电子杂志, 2023, 12(06): 500-504.
[7] 文华伟, 汤明, 方禹舜, 李亚楠, 张绍华, 张青松. 生物材料增强肩袖腱骨愈合的研究进展[J]. 中华肩肘外科电子杂志, 2023, 11(03): 273-278.
[8] 丁亚梅, 田野, 钱进, 陈梅, 季鸿颖. 良性胃溃疡出血患者内镜治疗术后再出血的危险因素分析[J]. 中华消化病与影像杂志(电子版), 2023, 13(05): 322-325.
[9] 曹玲, 张业坡, 袁珊珊, 胡红杰, 余日胜. 恶性胆道梗阻行胆道支架置入术后危重并发症及其危险因素研究[J]. 中华消化病与影像杂志(电子版), 2023, 13(04): 203-210.
[10] 吴佳霖, 罗骏阳, 钟胜, 王有枝, 姜在波. 肝内小直径覆膜支架联合抽栓、溶栓治疗门静脉血栓二例[J]. 中华介入放射学电子杂志, 2023, 11(04): 377-379.
[11] 许少睿, 孔杰, 马骏, 尚金林, 苏浩波. 西门子Artis Zee系列神经介入术专属透视策略的创建与应用[J]. 中华介入放射学电子杂志, 2023, 11(04): 318-323.
[12] 中华医学会消化内镜学分会护理协作组. 消化内镜中心的环境与布局专家共识建议(2023年,北京)[J]. 中华胃肠内镜电子杂志, 2023, 10(04): 240-247.
[13] 王盈盈, 刘晓冰, 杜健, 秦雪露, 丁丽苹, 闫彩玉, 陶雪梅, 柴宁莉. 消化内镜中心胃肠镜检查自助预约系统设计及应用[J]. 中华胃肠内镜电子杂志, 2023, 10(04): 278-281.
[14] 袁畅, 李志刚. 胸部恶性肿瘤相关气管食管瘘的诊治进展[J]. 中华胸部外科电子杂志, 2023, 10(04): 241-246.
[15] 陆东生, 桂建康, 范衍, 刘春林, 李祉岑, 宫崧峰. 复合手术治疗椎动脉慢性闭塞一例[J]. 中华脑血管病杂志(电子版), 2023, 17(04): 386-393.
阅读次数
全文


摘要