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Minimally invasive surgical interventions in acute necrotising pancreatitis (a literature review)

PAEDIATRIC SURGERY.UKRAINE.2018.1(58):101-108; doi 10.15574/PS.2018.58.101

Khomenko V. S., Polishchyk V. T., Syrotkin A. V., Perepelitsa V. P., Triguba O. B.
CI «Gerbachevskyi Zhytomyr Regional Clinical Hospital», Ukraine

Acute pancreatitis is one of the biggest problems of emergency abdominal surgery. Destructive (necrotic) forms make up about 20% in its structure, and in particular they cause the greatest number of morphological local and systemic complications as well as mortality. The last decade has been characterized by the large-scale implementation of minimally invasive technologies for the acute pancreatitis treatment, the step-by-step use of which greatly improved the treatment outcomes. The article highlights the step-up-approach for treatment of the destructive forms of acute pancreatitis.
Key words: acute destructive pancreatitis, minimally invasive interventions, step-up-approach.


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