A Comprehensive Differentiated Approach to the Surgical Treatment of Complicated Acute Pancreatitis Using Minimally Invasive Technologies

Acute pancreatitis, particularly in its severe forms accompanied by pancreatic necrosis and infected peripancreatic fluid collections, remains one of the most life-threatening acute abdominal conditions. Traditional management approaches based on early open necrosectomy are associated with high rates of postoperative complications, mortality, and prolonged recovery. Modern clinical guidelines emphasize a step-up, organ-preserving strategy based on the differentiated use of minimally invasive interventions, aiming to reduce surgical trauma, improve short- and long-term outcomes, and enhance patients’ quality of life. Therefore, evaluating the effectiveness of a comprehensive staged approach using minimally invasive drainage and necrosectomy techniques is a relevant and urgent clinical task.