腹腔镜手术治疗早期胆源性急性胰腺炎效果分析

Effect analysis of laparoscopic surgery in the treatment of early acute biliary pancreatitis

目的探讨腹腔镜手术治疗早期胆源性急性胰腺炎效果。方法收集我院2013年6月至2015年6月收治的60例胆源性急性胰腺炎患者,根据患者手术方式不同分为腹腔镜组(n=38)与开腹组(n=22),腹腔镜组患者采取腹腔镜手术治疗,开腹组患者则采取开腹手术治疗。比较两组患者的并发症发生情况及住院时间、再次手术、死亡等情况。结果腹腔镜组胰腺假性囊肿、系统性脏器功能不全、腹腔室膈综合征、胰瘘或肠瘘的发生率均低于开腹组(P<0.05)。腹腔镜组术后住院时间、再手术率明显优于开腹组(P<0.05);两组患者死亡率无明显差异(P>0.05)。结论腹腔镜手术是治疗早期胆源性急性胰腺炎安全、有效的方法。

Objective To explore the effect of laparoscopic surgery in the treatment of early acute biliary pancreatitis. Methods Sixty cases of patients with acute biliary pancreatitis from June 2013 to June 2015 were selected and divided into laparoscopic group （n=38） and laparotomy group （n=22） according to the different operation methods. The laparoscopic group underwent laparoscopic surgery, while the laparotomy group underwent open surgery. The conditions of complications, postoperative hospital stay, reoperation and death between the two groups were compared. Results The occurrence rates of pancreatic pseudocyst, systemic organ dysfunction, abdominal diaphragm syndrome, pancreatic fistula or intestinal fistula in the laparoscopic group were lower than those in the laparotomy group （P〈0.05）. The postoperative hospital stay and the rate of reoperation in the laparoscopic group were significantly better than those in the laparotomy group （P〈0.05）. There was no significant difference in mortality between the two groups （P〉0.05）. Conclusion Laparoscopic surgery is a safe and effective method in the treatment of early acute biliary pancreatitis.