摘要
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.
作者
徐建波
祁付珍
徐玉彬
宋研
禹亚彬
陈国锋
XU Jianbo;QI Fuzhen;XU Yubin(Department of Hepatobiliary Surgery,the Affiliated Huaian NO.1 People’s Hospital of Nanjing Medical University,Jiangsu,Huaian 223300,China)
出处
《临床外科杂志》
2021年第2期184-186,共3页
Journal of Clinical Surgery
基金
淮安市卫生健康科研立项资助项目(HAWJ201901)。
关键词
急性重症胰腺炎
后腹膜途径
腹腔镜
severe acute pancreatitis
retroperitoneal debridement therapy
laparoscope