腹腔镜辅助下后腹膜入路治疗感染性胰周坏死

Retroperitoneal laparoscopic debridement therapy for infected pancreatic necrosis

目的分析腹腔镜辅助性下后腹膜小切口治疗急性重症胰腺炎(SAP)胰周坏死伴感染的疗效。方法 SAP病人4例,均采取经后腹膜途径对胰腺坏死组织进行清创和引流,整理总结诊疗过程及术后恢复情况。结果 4例病人均成功完成清创术,无围手术期死亡;手术时间(180±78)分钟,清创术后平均住院时间42.75天(18~89天),术后影像学检查提示胰腺坏死组织及积液明显改善。结论腹腔镜辅助性下后腹膜途径对感染期SAP进行清创引流可取得满意效果。

Objective To investigate the feasibility of retroperitoneal laparoscopic debridement therapy for patients with infected severe acute pancreatitis(SAP).Methods The clinical data of 4 SAP patients undergoing retroperitoneal laparoscopic debridement in the First Hospital of Huai’an, Nanjing Medical University and the diagnosis, treatment process and postoperative recovery were retrospectively analyzed.Results All 4 patients successfully completed debridement without death in the perioperative period with an average operation time of(180±78)minutes and a mean hospital stay time after surgery of 42.75(18-89)days.Postoperative imagings showed that pancreatic necrosis tissue and fluid accumulation were obvious improve.Conclusion Retroperitoneal laparoscopic debridement therapy can achieve satisfactory results for infected SAP patients.