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Quando pungere pungere la necrosi?
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Zerbi
- 1. Quando pungere pungere laQuando pungere pungere la necrosi?necrosi? A. ZerbiA. Zerbi
- 2. Pancreatite AcutaPancreatite Acuta Necrosi infettaNecrosi infetta 30% - 40% delle necrosi si infettano30% - 40% delle necrosi si infettano Le necrosi infette hanno mortalità 3 volteLe necrosi infette hanno mortalità 3 volte maggiore delle necrosi sterilimaggiore delle necrosi sterili
- 3. Pancreatite AcutaPancreatite Acuta Necrosi infettaNecrosi infetta Dati su correlazione estensione necrosi edDati su correlazione estensione necrosi ed infezioneinfezione Dati su correlazione durata della necrosi edDati su correlazione durata della necrosi ed infezioneinfezione
- 4. Elementi di sospetto clinico di necrosiElementi di sospetto clinico di necrosi infettainfetta Ricomparsa di dolore addominaleRicomparsa di dolore addominale Peggioramento di leucocitosi e febbrePeggioramento di leucocitosi e febbre Segni indiretti alla TCSegni indiretti alla TC
- 5. Puntura percutanea della necrosiPuntura percutanea della necrosi pancreatica TC-Guidatapancreatica TC-Guidata VantaggiVantaggi SvantaggiSvantaggi
- 6. Prospettive della puntura percutanea dellaProspettive della puntura percutanea della necrosi pancreatica TC-Guidatanecrosi pancreatica TC-Guidata Necrosectomia mini-invasiva percutanea TC-Necrosectomia mini-invasiva percutanea TC- guidataguidata Approccio chirurgico retroperitoneale video-Approccio chirurgico retroperitoneale video- assistito sulla guida del drenaggio percutaneoassistito sulla guida del drenaggio percutaneo