Pancreatic cancer is one of the deadliest tumors, and surgery is, for now, the only potentially curative treatment. However, pancreatic surgery is burdened with severe complications, of which postoperative pancreatic fistula (POPF) is one of the most dangerous. Recent publications show that there is a strong connection between POPF and postoperative acute pancreatitis (POAP). In this review, we present the available literature on PPAP, summarizing the available diagnostic, prophylactic, and treatment tools. We identify POAP as a specific postoperative complication where a lack of unified definitions and treatment guidelines makes both research and clinical decisions more difficult. Based on the available studies, we also propose an algorithm for early POAP detection.
胰腺癌是最致命的肿瘤之一,目前手术是唯一可能根治的治疗方式。然而胰腺手术常伴随严重并发症,其中术后胰瘘是最危险的并发症之一。近期研究表明,术后胰瘘与术后急性胰腺炎存在密切关联。本文综述了当前关于术后急性胰腺炎的文献,系统总结了现有的诊断、预防和治疗手段。我们认为术后急性胰腺炎作为一种特定的术后并发症,由于缺乏统一的定义和治疗指南,使得相关研究和临床决策面临挑战。基于现有研究,我们还提出了一套早期检测术后急性胰腺炎的诊断流程。