hepatoАнналы хирургической гепатологииAnnaly khirurgicheskoy gepatologii = Annals of HPB Surgery1995-54642408-9524НЭИКОН ИСП10.16931/1995-5464.2022-3-81-91hepato-893Research ArticleОБЗОР ЛИТЕРАТУРЫREVIEWSТранслюминальная и ретроперитонеальная мини-инвазивная некрэктомия при остром панкреатитеTransluminal and retroperitoneal minimally invasive necrosectomy in acute pancreatitishttps://orcid.org/0000-0002-8456-8685ФедоровА. В.FedorovA. V.

Федоров Андрей Владимирович – доктор мед. наук, профессор, профессор кафедры эндоскопической хирургии факультета дополнительного профессионального образования

127473, Москва, ул. Делегатская, д. 20, стр. 1, Российская Федерация

Andrey V. Fedorov – Doct. of Sci. (Med.), Professor, Professor of the Department of Endoscopic Surgery, Faculty of Continuing Professional Education

20/1, Delegatskaya str., Moscow, 127473, Russian Federation

a.fedorov@surgeons.ruhttps://orcid.org/0000-0001-9422-1776ЭктовВ. Н.EktovV. N.

Эктов Владимир Николаевич – доктор мед. наук, профессор, заведующий кафедрой хирургических дисциплин Института дополнительного профессионального образования

394036, Воронеж, ул. Студенческая, д. 10, Российская Федерация

Vladimir N. Ektov – Doct. of Sci. (Med.), Professor, Head of the Department of Surgical Disciplines, Institute of Continuing Professional Education

10, Studencheskaya str., Voronezh, 394036, Russian Federation

ektov.vladimir@yandex.ruhttps://orcid.org/0000-0003-2584-0471ХодорковскийМ. А.KhodorkovskiyM. A.

Ходорковский Марк Анатольевич – доктор мед. наук, профессор, профессор кафедры хирургических дисциплин Института дополнительного профессионального образования

394036, Воронеж, ул. Студенческая, д. 10, Российская Федерация

Mark A. Khodorkovskiy – Doct. of Sci. (Med.), Professor, Professor of the Department of Surgical Disciplines, Institute of Continuing Professional Education

10, Studencheskaya str., Voronezh, 394036, Russian Federation

vgmi_30@mail.ruФГБОУ ВО “Московский государственный медико-стоматологический университет им. А.И. Евдокимова” Минздрава РоссииРоссияA.I. Evdokimov Moscow State University of Medicine and Dentistry of the Ministry of Healthcare of the Russian FederationRussian FederationФГБОУ ВО “Воронежский государственный медицинский университет им. Н.Н. Бурденко” Минздрава РоссииРоссияVoronezh State Medical University named after N.N. Burdenko of the Ministry of Healthcare of the Russian FederationRussian Federation2022200920222738191Copyright © Федоров А.В., Эктов В.Н., Ходорковский М.А., 20222022Федоров А.В., Эктов В.Н., Ходорковский М.А.Fedorov A.V., Ektov V.N., Khodorkovskiy M.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://hepato.elpub.ru/jour/article/view/893

В обзоре представлены данные литературы о возможностях мини-инвазивной некрэктомии при инфицированных формах острого некротизирующего панкреатита. Подробно изложена информация о терминологии, показаниях и технических особенностях выполнения основных вариантов мини-инвазивной хирургической санации некротических скоплений – эндоскопической транслюминальной некрэктомии, видеоассистированной забрюшинной хирургической обработки и мини-инвазивной забрюшинной некрэктомии. Представлены результаты многочисленных исследований по оценке их эффективности и возможным вариантам комбинированного применения. Приведены материалы актуальных международных клинических рекомендаций, свидетельствующие о целесообразности выполнения мини-инвазивной некрэктомии в рамках поэтапной стратегии лечения больных острым некротизирующим панкреатитом.

The research review presents literature data on the possibilities of performing minimally invasive necrosectomy for infected forms of acute necrotizing pancreatitis. The paper provides detailed information concerning the terminology, indications for, and technical features of implementing the principal methods of minimally invasive surgical debridement of necrotic accumulations. The techniques include endoscopic transluminal necrosectomy, videoassisted retroperitoneal debridement, and minimally invasive retroperitoneal necrosectomy. The review describes results of numerous studies on the evaluation of their effectiveness and possible options for their combined use. Additionally, we present the materials of relevant international clinical guidelines which indicate the viability of performing minimally invasive necrosectomy as part of a phased strategy for the treatment of patients with acute necrotizing pancreatitis.

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The authors declare that there are no conflicts of interest present.