论文部分内容阅读
目的探讨经腹腔镜灌洗、引流治疗早期重症急性胰腺炎(severe acute pancreatitis,SAP)的疗效。方法对1998年4月-2007年11月间收治的16例早期重症急性胰腺炎的患者,进行腹腔镜下胃结肠韧带切开,胰腺被膜切开减压,吸尽胰周渗液及清除坏死组织,并置多管腹腔引流和灌洗治疗的临床资料进行回顾性分析。结果15例治愈,1例发生胰腺假性囊肿,无围手术期死亡。结论腹腔镜灌洗、引流治疗早期重症胰腺炎方法简单、安全、有效,可降低SAP的病死率,减少并发症。
Objective To investigate the efficacy of laparoscopic lavage and drainage in the treatment of early severe acute pancreatitis (SAP). Methods From April 1998 to November 2007, 16 patients with early severe acute pancreatitis underwent laparoscopic gastric colonic ligament dissection, decompression of pancreas capsule, excretion of peritoneal effusion and removal of necrosis Tissue, combined with multiple abdominal drainage and lavage treatment of clinical data for retrospective analysis. Results 15 cases were cured, 1 case of pancreatic pseudocyst occurred, no perioperative death. Conclusions Laparoscopic lavage and drainage treatment of early severe pancreatitis is simple, safe and effective, which can reduce the mortality of SAP and reduce the complications.