Status of Minimally Invasive Step-Up Approach in Treatment of Severe Acute Pancreatitis_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 HEWei ,  GENGXiao-ping

Department of General Surgery, The Second Affiliated Hospital of Anhui Medical University, Hefei 230601, Anhui Province, China;

Corresponding author：

GENGXiao-ping, Email: xp_geng@163.net

Keywords：

Severe acute pancreatitis; Minimally invasive step-up approach; Open necrosectomy

DOI：

10.7507/1007-9424.20160291

Video：

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Objective To summarize the clinical application of the minimally invasive step-up approach in the treatment of severe acute pancreatitis (SAP), and to explore the clinical indications, timing for the minimally invasive step-up approach, and to make comparison with open necrosectomy. Methods The literatures about the treatment of SAP in recent years were collected to make a review. Results The minimally invasive step-up approach, comparing with open necrosectomy, was more effective to treat SAP, however, itself had its own limitations. In the treatment process, the optimal method was minimally invasive step-up approach, but also did not exclude open necrosectomy. Conclusions The treatment of SAP can not rely on a single method, it needs a comprehensive treatment which is relate with multidisciplinary management and highly individual choice. In addition, it needs further study to explore the timing and indications for transforming minimally invasive step-up approach into open necrosectomy.

Citation： HE Wei, GENG Xiao-ping. Status of Minimally Invasive Step-Up Approach in Treatment of Severe Acute Pancreatitis. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2016, 23(9): 1136-1141. doi: 10.7507/1007-9424.20160291 Copy

1.	Bai Y, Liu Y, Jia L, et al. Severe acute pancreatitis in China:etiology and mortality in 1976 patients. Pancreas, 2007, 35(3):232-237.
2.	Hamada S, Masamune A, Kikuta K, et al. Nationwide epidemiological survey of acute pancreatitis in Japan. Pancreas, 2014, 43(8):1244-1248.
3.	Wormer BA, Swan RZ, Williams KB, et al. Outcomes of pancreatic debridement in acute pancreatitis:analysis of the nationwide inpatient sample from 1998 to 2010. Am J Surg, 2014, 208(3):350-362.
4.	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(16):1491-1502.
5.	Rosenberg A, Steensma EA, Napolitano LM. Necrotizing pancreatitis:new definitions and a new era in surgical management. Surg Infect (Larchmt), 2015, 16(1):1-13.
6.	Cirocchi R, Trastulli S, Desiderio J, et al. Minimally invasive necrosectomy versus conventional surgery in the treatment of infected pancreatic necrosis:a systematic review and a meta-analysis of comparative studies. Surg Laparosc Endosc Percutan Tech, 2013, 23(1):8-20.
7.	Banks PA, Bollen TL, Dervenis C, et al. Classification of acute pancreatitis-2012:revision of the Atlanta classification and definitions by international consensus. Gut, 2013, 62(1):102-111.
8.	中华医学会外科学分会胰腺外科学组.重症急性胰腺炎诊治指南.中华外科杂志, 2007, 45(11):727-729.
9.	中华医学会外科学分会胰腺外科学组.急性胰腺炎诊治指南(2014).中国实用外科杂志, 2015, 53(1):50-53.
10.	Marshall JC, Cook DJ, Christou NV, et al. Multiple organ dysfunction score:a reliable descriptor of a complex clinical outcome. Crit Care Med, 1995, 23(10):1638-1652.
11.	中华医学会消化病学分会胰腺疾病学组.中国急性胰腺炎诊治指南(2013, 上海).中华胰腺病杂志, 2013, 13(2):73-78.
12.	van Santvoort HC, Bakker OJ, Bollen TL, et al. A conservative and minimally invasive approach to necrotizing pancreatitis improves outcome. Gastroenterology, 2011, 141(4):1254-1263.
13.	Working Group IAP/APA Acute Pancreatitis Guidelines. IAP/APA evidence-based guidelines for the management of acute pancreatitis. Pancreatology, 2013, 13(4 Suppl 2):e1-e15.
14.	Mier J, León EL, Castillo A, et al. Early versus late necrosectomy in severe necrotizing pancreatitis. Am J Surg, 1997, 173(2):71-75.
15.	杨瑾, 邵钦树, 徐继, 等.重症急性胰腺炎外科干预的时机及疗效分析.中华医学杂志, 2013, 93(46):3691-3693.
16.	Gou S, Yang C, Yin T, et al. Percutaneous catheter drainage of pancreatitis-associated ascitic fluid in early-stage severe acute pancreatitis. Pancreas, 2015, 44(7):1161-1162.
17.	Watts GT. Total pancreatectomy for fulminant pancreatitis. Lancet, 1963, 2(7304):384-386.
18.	Gou S, Xiong J, Wu H, et al. Five-year cohort study of open pancreatic necrosectomy for necotizing pancreatitis suggests it is a safe and effective operation. J Gastrointest Surg, 2013, 17(9):1634-1642.
19.	Bradley EL, Dexter ND. Management of severe acute pancreatitis:a surgical odyssey. Ann Surg, 2010, 251(1):6-17.
20.	Connor S, Alexakis N, Raraty MG, et al. Early and late complications after pancreatic necrosectomy. Surgery, 2005, 137(5):499-505.
21.	赵玉沛, 陈革.手术在重症急性胰腺炎治疗中的地位.中国实用外科杂志, 2003, 23(9):517-518.
22.	黄志强, 宋青, 刘志伟, 等.论重症急性胰腺炎治疗观念的转变.中华消化外科杂志, 2010, 9(5):321-325.
23.	Solanki R, Thumma V, Sastry RA, et al. The role of image guided percutaneous drainage in multidisciplinary management of necrotizing pancreatitis. Trop Gastroenterol, 2013, 34(1):25-30.
24.	van Baal MC, van Santvoort HC, Bollen TL, et al. Systematic review of percutaneous catheter drainage as primary treatment for necrotizing pancreatitis. Br J Surg, 2011, 98(1):18-27.
25.	Wroński M, Cebulski W, Karkocha D, et al. Ultrasound-guided percutaneous drainage of infected pancreatic necrosis. Surg Endosc, 2013, 27(8):2841-2848.
26.	Hollemans RA, Bollen TL, van Brunschot S, et al. Predicting success of catheter drainage in infected necrotizing pancreatitis. Ann Surg, 2015, 263(4):787-792.
27.	Ke L, Ni HB, Tong ZH, et al. The importance of timing of decompression in severe acute pancreatitis combined with abdominal compartment syndrome. J Trauma Acute Care Surg, 2013, 74(4):1060-1066.
28.	耿小平, 孙昀.重症急性胰腺炎微创治疗中的问题与思考.肝胆外科杂志, 2013, 21(6):471-473.
29.	Tan V, Charachon A, Lescot T, et al. Endoscopic transgastric versus surgical necrosectomy in infected pancreatic necrosis. Clin Res Hepatol Gastroenterol, 2014, 38(6):770-776.
30.	Haghshenasskashani A, Laurence JM, Kwan V, et al. Endoscopic necrosectomy of pancreatic necrosis:a systematic review. Surg Endosc, 2011, 25(12):3724-3730.
31.	Raraty MG, Halloran CM, Dodd S, et al. Minimal access retroperitoneal pancreatic necrosectomy:improvement in morbidity and mortality with a less invasive approach. Ann Surg, 2010, 251(5):787-793.
32.	Aso A, Igarashi H, Matsui N, et al. Large area of walled-off pancreatic necrosis successfully treated by endoscopic necrosectomy using a grasping-type scissors forceps. Dig Endosc, 2014, 26(3):474-477.
33.	van Santvoort HC, Besselink MG, Bakker OJ, et al. Endoscopic necrosectomy in necrotising pancreatitis:indication is the key. Gut, 2010, 59(11):1587-1594.
34.	Bakker OJ, van Santvoort HC, van Brunschot S, et al. Endoscopic transgastric vs surgical necrosectomy for infected necrotizing pancreatitis:a randomized trial. JAMA, 2012, 307(10):1053-1061.
35.	Wysocki AP, Mckay CJ, Carter CR. Infected pancreatic necrosis:minimizing the cut. ANZ J Surg, 2010, 80(1-2):58-70.
36.	Tu Y, Jiao H, Tan X, et al. Laparotomy versus retroperitoneal laparoscopy in debridement and drainage of retroperitoneal infected necrosis in severe acute pancreatitis. Surg Endosc, 2013, 27(11):4217-4223.
37.	Zheng Y, Zhou Z, Li H, et al. A multicenter study on etiology of acute pancreatitis in Beijing during 5 years. Pancreas, 2015, 44(3):409-414.
38.	Nguyen GC, Rosenberg M, Chong RY, et al. Early cholecystectomy and ERCP are associated with reduced readmissions for acute biliary pancreatitis:a nationwide, population-based study. Gastrointest Endosc, 2012, 75(1):47-55.
39.	Tse F, Yuan Y. Early routine endoscopic retrograde cholangiopancreatography strategy versus early conservative management strategy in acute gallstone pancreatitis. Cochrane Database Syst Rev, 2012, 5(6):CD009779.
40.	勾善淼, 王春友.重症急性胰腺炎胰腺坏死组织清除术的方式与时机.中国实用外科杂志, 2012, 32(7):587-589.
41.	林泽伟, 常志刚, 韦军民, 等.重症急性胰腺炎治疗方式与外科处理时机的选择(多中心回顾性研究).中国实用外科杂志, 2012, 32(7):561-564.
42.	Fernández-del Castillo C. Open pancreatic necrosectomy:indications in the minimally invasive era. J Gastrointest Surg, 2011, 15(7):1089-1091.

1. Bai Y, Liu Y, Jia L, et al. Severe acute pancreatitis in China:etiology and mortality in 1976 patients. Pancreas, 2007, 35(3):232-237.
2. Hamada S, Masamune A, Kikuta K, et al. Nationwide epidemiological survey of acute pancreatitis in Japan. Pancreas, 2014, 43(8):1244-1248.
3. Wormer BA, Swan RZ, Williams KB, et al. Outcomes of pancreatic debridement in acute pancreatitis:analysis of the nationwide inpatient sample from 1998 to 2010. Am J Surg, 2014, 208(3):350-362.
4. 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(16):1491-1502.
5. Rosenberg A, Steensma EA, Napolitano LM. Necrotizing pancreatitis:new definitions and a new era in surgical management. Surg Infect (Larchmt), 2015, 16(1):1-13.
6. Cirocchi R, Trastulli S, Desiderio J, et al. Minimally invasive necrosectomy versus conventional surgery in the treatment of infected pancreatic necrosis:a systematic review and a meta-analysis of comparative studies. Surg Laparosc Endosc Percutan Tech, 2013, 23(1):8-20.
7. Banks PA, Bollen TL, Dervenis C, et al. Classification of acute pancreatitis-2012:revision of the Atlanta classification and definitions by international consensus. Gut, 2013, 62(1):102-111.
8. 中华医学会外科学分会胰腺外科学组.重症急性胰腺炎诊治指南.中华外科杂志, 2007, 45(11):727-729.
9. 中华医学会外科学分会胰腺外科学组.急性胰腺炎诊治指南(2014).中国实用外科杂志, 2015, 53(1):50-53.
10. Marshall JC, Cook DJ, Christou NV, et al. Multiple organ dysfunction score:a reliable descriptor of a complex clinical outcome. Crit Care Med, 1995, 23(10):1638-1652.
11. 中华医学会消化病学分会胰腺疾病学组.中国急性胰腺炎诊治指南(2013, 上海).中华胰腺病杂志, 2013, 13(2):73-78.
12. van Santvoort HC, Bakker OJ, Bollen TL, et al. A conservative and minimally invasive approach to necrotizing pancreatitis improves outcome. Gastroenterology, 2011, 141(4):1254-1263.
13. Working Group IAP/APA Acute Pancreatitis Guidelines. IAP/APA evidence-based guidelines for the management of acute pancreatitis. Pancreatology, 2013, 13(4 Suppl 2):e1-e15.
14. Mier J, León EL, Castillo A, et al. Early versus late necrosectomy in severe necrotizing pancreatitis. Am J Surg, 1997, 173(2):71-75.
15. 杨瑾, 邵钦树, 徐继, 等.重症急性胰腺炎外科干预的时机及疗效分析.中华医学杂志, 2013, 93(46):3691-3693.
16. Gou S, Yang C, Yin T, et al. Percutaneous catheter drainage of pancreatitis-associated ascitic fluid in early-stage severe acute pancreatitis. Pancreas, 2015, 44(7):1161-1162.
17. Watts GT. Total pancreatectomy for fulminant pancreatitis. Lancet, 1963, 2(7304):384-386.
18. Gou S, Xiong J, Wu H, et al. Five-year cohort study of open pancreatic necrosectomy for necotizing pancreatitis suggests it is a safe and effective operation. J Gastrointest Surg, 2013, 17(9):1634-1642.
19. Bradley EL, Dexter ND. Management of severe acute pancreatitis:a surgical odyssey. Ann Surg, 2010, 251(1):6-17.
20. Connor S, Alexakis N, Raraty MG, et al. Early and late complications after pancreatic necrosectomy. Surgery, 2005, 137(5):499-505.
21. 赵玉沛, 陈革.手术在重症急性胰腺炎治疗中的地位.中国实用外科杂志, 2003, 23(9):517-518.
22. 黄志强, 宋青, 刘志伟, 等.论重症急性胰腺炎治疗观念的转变.中华消化外科杂志, 2010, 9(5):321-325.
23. Solanki R, Thumma V, Sastry RA, et al. The role of image guided percutaneous drainage in multidisciplinary management of necrotizing pancreatitis. Trop Gastroenterol, 2013, 34(1):25-30.
24. van Baal MC, van Santvoort HC, Bollen TL, et al. Systematic review of percutaneous catheter drainage as primary treatment for necrotizing pancreatitis. Br J Surg, 2011, 98(1):18-27.
25. Wroński M, Cebulski W, Karkocha D, et al. Ultrasound-guided percutaneous drainage of infected pancreatic necrosis. Surg Endosc, 2013, 27(8):2841-2848.
26. Hollemans RA, Bollen TL, van Brunschot S, et al. Predicting success of catheter drainage in infected necrotizing pancreatitis. Ann Surg, 2015, 263(4):787-792.
27. Ke L, Ni HB, Tong ZH, et al. The importance of timing of decompression in severe acute pancreatitis combined with abdominal compartment syndrome. J Trauma Acute Care Surg, 2013, 74(4):1060-1066.
28. 耿小平, 孙昀.重症急性胰腺炎微创治疗中的问题与思考.肝胆外科杂志, 2013, 21(6):471-473.
29. Tan V, Charachon A, Lescot T, et al. Endoscopic transgastric versus surgical necrosectomy in infected pancreatic necrosis. Clin Res Hepatol Gastroenterol, 2014, 38(6):770-776.
30. Haghshenasskashani A, Laurence JM, Kwan V, et al. Endoscopic necrosectomy of pancreatic necrosis:a systematic review. Surg Endosc, 2011, 25(12):3724-3730.
31. Raraty MG, Halloran CM, Dodd S, et al. Minimal access retroperitoneal pancreatic necrosectomy:improvement in morbidity and mortality with a less invasive approach. Ann Surg, 2010, 251(5):787-793.
32. Aso A, Igarashi H, Matsui N, et al. Large area of walled-off pancreatic necrosis successfully treated by endoscopic necrosectomy using a grasping-type scissors forceps. Dig Endosc, 2014, 26(3):474-477.
33. van Santvoort HC, Besselink MG, Bakker OJ, et al. Endoscopic necrosectomy in necrotising pancreatitis:indication is the key. Gut, 2010, 59(11):1587-1594.
34. Bakker OJ, van Santvoort HC, van Brunschot S, et al. Endoscopic transgastric vs surgical necrosectomy for infected necrotizing pancreatitis:a randomized trial. JAMA, 2012, 307(10):1053-1061.
35. Wysocki AP, Mckay CJ, Carter CR. Infected pancreatic necrosis:minimizing the cut. ANZ J Surg, 2010, 80(1-2):58-70.
36. Tu Y, Jiao H, Tan X, et al. Laparotomy versus retroperitoneal laparoscopy in debridement and drainage of retroperitoneal infected necrosis in severe acute pancreatitis. Surg Endosc, 2013, 27(11):4217-4223.
37. Zheng Y, Zhou Z, Li H, et al. A multicenter study on etiology of acute pancreatitis in Beijing during 5 years. Pancreas, 2015, 44(3):409-414.
38. Nguyen GC, Rosenberg M, Chong RY, et al. Early cholecystectomy and ERCP are associated with reduced readmissions for acute biliary pancreatitis:a nationwide, population-based study. Gastrointest Endosc, 2012, 75(1):47-55.
39. Tse F, Yuan Y. Early routine endoscopic retrograde cholangiopancreatography strategy versus early conservative management strategy in acute gallstone pancreatitis. Cochrane Database Syst Rev, 2012, 5(6):CD009779.
40. 勾善淼, 王春友.重症急性胰腺炎胰腺坏死组织清除术的方式与时机.中国实用外科杂志, 2012, 32(7):587-589.
41. 林泽伟, 常志刚, 韦军民, 等.重症急性胰腺炎治疗方式与外科处理时机的选择(多中心回顾性研究).中国实用外科杂志, 2012, 32(7):561-564.
42. Fernández-del Castillo C. Open pancreatic necrosectomy:indications in the minimally invasive era. J Gastrointest Surg, 2011, 15(7):1089-1091.

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Status of Minimally Invasive Step-Up Approach in Treatment of Severe Acute Pancreatitis

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