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Commento all'ediorialie "Surgical management of pancreatic necrosis: A practice management guideline from the Eastern Association for the Surgery of Trauma."

 

 

 

 

 

Commento all’Editoriale a cura del Dott. Mario Baiamonte, in collaborazione con il dott. Salvatore Buscemi per la parte relativa alla ricerca bibliografica:

 

L’articolo si basa sulla revisione sistematica di 88 studi relativi al trattamento della necrosi da pancreatite acuta e pubblicati dal 1980 al 2014. Sono state valutate in particolare, tre questioni fondamentali:

 

Severe acute pancreatitis: pathogenesis, diagnosis and surgical management.

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Commento all’Editoriale a cura del Dott. Mario Baiamonte

L’articolo, consultabile integralmente anche in formato pdf nel sito della rivista, rappresenta una review comprendente un totale di 39 lavori pubblicati tra il gennaio 1991 e il dicembre 2015: 6 studi retrospettivi, 14 studi prospettici, 14 reviews sistematiche, 2 meta-analisi e 3 linee guida.

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Commento all’articolo a cura del Dott. Antonio Pesce

Nonostante i notevoli progressi nella tecnologia e nelle tecniche chirurgiche, le lesioni iatrogene delle vie  biliari rappresentano ancora oggi un problema di salute pubblica sia in termini medico-legali che di costi sanitari.
Allo stato attuale la percentuale di lesioni iatrogene maggiori oscilla tra lo 0.3-0.8%, percentuale che si è notevolmente ridotta negli ultimi anni, rispetto agli inizi della laparoscopia. In letteratura scientifica sono stati proposti e descritti diversi metodi per prevenire le lesioni iatrogene delle vie biliari: dalla valutazione della cosiddetta “Critical View of Safety (CVS)” alla colangiografia intra-operatoria. Nonostante i vari dibattiti ed opinioni non esiste allo stato attuale un metodo che può essere considerato “gold standard”.

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