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Retroperitoneoskopische und transgastrale Nekrosektomie am Pankreas

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Book cover Minimalinvasive Viszeralchirurgie

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Zusammenfassung

Im Verlauf einer nekrotisierenden Pankreatitis kommt es oft zu einer interventionspflichtigen Superinfektion der zuvor sterilen Nekroseareale. Die Nekrosen können auch dauerhaft als »walled-off pancreatic necrosis« (WOPN) bestehen bleiben. Bis vor wenigen Jahren erfolgte die Behandlung mittels offener Nekrosektomie mit einer hohen Morbidität und Mortalität. Seit einigen Jahren wird nach dem Step-up-Konzept zunächst interventionell drainiert und eine chirurgische Therapie nur falls notwendig durchgeführt. Diese erfolgt in der Regel als minimalinvasive transgastrale oder retroperitoneoskopische Nekrosektomie. Die offene Operation wird meist nur noch zur Beherrschung schwerwiegender Komplikationen (Blutung, Hohlorganperforation, Ischämie) eingesetzt.

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Author information

Authors and Affiliations

  1. Klinik für Chirurgie, Universitätsklinikum Schleswig-Holstein, Campus Lübeck, Ratzeburger Allee 160, 23538, Lübeck

    PD Dr. med. Dirk Bausch

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  1. PD Dr. med. Dirk Bausch
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Editors and Affiliations

  1. Klinik für Chirurgie, Universitätsklinikum Schleswig-Holstein, Lübeck, Germany

    Tobias Keck

  2. Klinik für Allgemein-, Viszeral-, Gefäß-, und Kinderchirurgie, Würzburg, Germany

    Christoph T. Germer

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Bausch, D. (2017). Retroperitoneoskopische und transgastrale Nekrosektomie am Pankreas. In: Keck, T., Germer, C. (eds) Minimalinvasive Viszeralchirurgie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-53204-1_22

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  • DOI: https://doi.org/10.1007/978-3-662-53204-1_22

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-53203-4

  • Online ISBN: 978-3-662-53204-1

  • eBook Packages: Medicine (German Language)

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