微创技术在治疗急性胆源性胰腺炎中的应用

The use of minimally invasive technique in treatment of acute billiary Pancreatitis

目的探讨微创技术在治疗急性胆源性胰腺炎(acute billiary pancreatitis,ABP)中的应用。方法回顾分析65例ABP病人的临床资料和腔镜联合微创治疗效果。结果单纯腹腔镜胆囊切除术(LC)30例,LC加十二指肠乳头切开(EST)引流20例,LC加腔镜下胆总管探查术(LCBDE)10例,5例传统开腹手术,均痊愈。结论采用三镜技术治疗ABP优势明显,占总病人数的92%,损伤小,痛苦少,不失为理想的治疗方法。

Objective To ivestigate application of minimally invasive technique in treatment of Acute billiary pancreatitis.Methods 65 cases of Acute billiary pancreatitis who received combined combined Laparoscopic surgery from 2003 to 2007 were Restrospectively analyzed;Results A total of 30 cases were treated only by laparoscopic cholecysectomy;There were 20 cases treated by laparoscopy cholecysteclomy combined with endoscopic sphincterotomy;There were 10 cases treated by laparoscopic cholecysectomy combined with laparoscopic bile duct exploration.There were 5 cases treated by open operation.All of the 65 cases were cured.Conclusion 92% of the cases of Acute billiary pancreatitis were treated by the three kinds of laparoscopic.It is an ideal method withmicrotrauma and less suffering for patients.