Die Behandlung der akuten Pankreatitis aus Sicht der Chirurgie
Tóm tắt
Die Rolle der Chirurgie bei der Behandlung der akuten Pankreatitis hat sich in den vergangenen Jahren deutlich verändert. Während in den 90er-Jahren des letzten Jahrhunderts durch die Chirurgie eine deutliche Reduktion der Krankenhausmortalität erreicht werden konnte, ist durch die Verbesserung der Intensivmedizin im Generellen und durch die Entwicklung minimal-invasiver Therapiemöglichkeiten der Stellenwert der Chirurgie (offen, im Allgemeinen) in den Hintergrund gerückt. Heute werden Patienten mit akuter Pankreatitis nur nach Ausschöpfung intensivmedizinischer Therapien und minimal-invasiver Interventionen operiert oder wenn Komplikationen auftreten, die anderweitig nicht behandelbar sind (bspw. Hohlorganperforationen). Der Beitrag gibt einen Überblick über die aktuell angewandten Therapiemaßnahmen.
Tài liệu tham khảo
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