腹腔镜手术治疗急性胆源性胰腺炎:附134例报告

Laparoscopic surgery for patients with acute gallstone pancreatitis:a report of 134 cases

目的 探讨应用腹腔镜手术治疗急性胆源性胰腺炎 (AGP)的效果。方法 回顾性分析2 0 0 0年以来采用腹腔镜手术治疗的AGP患者 13 4例临床资料。结果 全部患者均成功进行了腹腔镜手术治疗 ,其中行胆囊切除 2 1例 ;胆囊切除、胆总管切开探查引流 113例 ,其中同时行胰腺被膜切开灌洗引流 75例。治愈 12 6例 ( 94.0 % ) ,死亡 6例 ( 4 .5 % ) ,2例 ( 1.5 % )自动出院。结论 对急性胆源性胰腺炎患者早期采用经腹腔镜手术治疗 ,疗效满意 ,可明显改善预后 ,值得推广。

Objective To observe the effect of laparoscopic surgery for patients with acute gallstone pancreatitis(AGP). Methods The clinical data of 134 patients suffered from AGP treated with laparoscopy surgery since 2000 in our hospital were analyzed retrospectively.Results All the patients were treated with laparoscopic surgery successfully. Among them, 21 cases were treated with laparoscopic cholecystectomy (LC);113 cases with LC and exploration of common bile duct,induding 75 cases received opening the pancreatic capsule and placement of irregation tubes for postoperative washing the abdominal cavity during the same operation. One hundred and tweent-six cases(94.0%) cured, 6 cases(4.5%) died, 2 cases( 1.5%) discharged themself. Conclusions Laparoscopic surgery in the treatment of early stage of AGP can get good results and improve the prognosis remarkably.It is worth to be used widely.