Abstract: Severe acute pancreatitis (SAP) is one of the common surgical acute abdomen conditions,often accompanied by systemic or local complications.It is characterized by rapid onset,fast progression,and severe condition.Early detection and early treatment remain important ways to reduce the mortality rate of SAP.In clinical practice,personalized early intervention treatments tailored to patients with different etiologies and symptoms can achieve certain therapeutic effects in controlling the disease.With the updating of treatment concepts and techniques,minimally invasive surgery has replaced traditional open surgery and is widely applied in SAP,bringing about breakthrough changes in surgical methods.There are certain differences in the application of different surgical procedures in SAP.

Key words: severe acute pancreatitis, acute abdomen, surgery, minimally invasive