| 書目名稱 | Controversies in Acute Pancreatitis | | 編輯 | L. F. Hollender | | 視頻video | http://file.papertrans.cn/238/237668/237668.mp4 | | 圖書封面 |  | | 描述 | The first complete general study of acute necrotizing hemorrhagic pan- creatitis was made in 1889 by Reginald Fitz. If we survey the therapeutic evolution of this severe illness, we may briefly summarize it into three pe- riods: (a) resolutely surgical treatment, from approximately 1880 to 1938; (b) much more conservative treatment, from 1938 to 1963; and (c) a return to surgery, from 1963 onward. Hoffmann, in 1911, was probably the first to advocate the removal of the necrotic portion of the pancreas. In 1933, Okinczyc wrote: "The ope- rative indications are not a matter for discussion; emergency surgery must be quick to manage the patient‘s poor resistance." So: "go right to the target, expose, drain ... and hope!" Leriche and Arnaud, more inge- nious, said: "The aim of the operation is to avoid diffusion of the pan- creatic juice into the abdominal cavity and limit the harmful effects of what remains in situ ... " With the progress in intensive care techniques, the "conservatives" emphasizing the poor results of surgery had no difficulty in imposing their point of view. Subsequently, in 1963, a new period began with the first successful emergency pancreatoduodenectomy, performed | | 出版日期 | Conference proceedings 1982 | | 關鍵詞 | Bauchspeicheldrüsenentzündung; Surgery; endoscopy; inflammation; laparoscopy; necrosis; abdominal surgery | | 版次 | 1 | | doi | https://doi.org/10.1007/978-3-642-68518-7 | | isbn_softcover | 978-3-540-11410-9 | | isbn_ebook | 978-3-642-68518-7 | | copyright | Springer-Verlag, Berlin Heidelberg 1982 |
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