左径路腹膜后开放引流术治疗重症急性胰腺炎

Open Drainage of the Retroperitoneal Sapce via Left Approach for the Management of Severe Acute Pancreatitis

行左径路腹膜后开放引流术治疗重症急性胰腺炎14例,12例痊愈,效果明显优于常规前路引流术.该术式特点为:通过左前侧腰部结肠后方成形的开放伤口,形成一直达胰周、腹膜后间隙并与腹腔隔离的宽敞通道,在术后足够长的一段时间内保证通畅的腹膜后引流及多次有效的再清创.

Open drainage of the retroperitoneal space was performed in 14 patients with severe acute pancreatitis. Among them 12 recovered. The new operation method revealed much better effects than conventional operation method. The new operation method was characterized by:With an opening incision in the left lumber,a wide drainage passage was constructed which enabled an directive and easy reach to the retroperitoneal space from the opening incision while keeping separated from the peritoneal space. The passage ensured unobstructed drainage and repeated removals of necrotic tissues from the retroperitoneal space in a relatively long period after operation.