Objective: To evaluate the relation of laparotomy timing to the prognosis in patients with acute necro- tizing pancreatitis (ANP). Methods: The laparotomy timing, morbidity, mor- tality and reoperation rate were revie...Objective: To evaluate the relation of laparotomy timing to the prognosis in patients with acute necro- tizing pancreatitis (ANP). Methods: The laparotomy timing, morbidity, mor- tality and reoperation rate were reviewed in 78 pa- tients with ANP at our hospital from 1988 to 2001. Results: The morbidity rates of early operation, de- layed operation and non-operation groups were 68.7%, 34.2% and 29.1%, respectively, and their mortality rates were 37.5%, 10.5% and 12.5%. The reoperation rates in early operation and delayed ope- ration groups were 87.5% and 18.4%, respectively. Conclusions: The strategy for the management of ANP is an important factor influencing the prognosis of ANP patients. For ANP, delayed operation if nec- essary is more preferable than early operation in terms of better prognosis, and surgery should be simple and free from severe trauma.展开更多
文摘Objective: To evaluate the relation of laparotomy timing to the prognosis in patients with acute necro- tizing pancreatitis (ANP). Methods: The laparotomy timing, morbidity, mor- tality and reoperation rate were reviewed in 78 pa- tients with ANP at our hospital from 1988 to 2001. Results: The morbidity rates of early operation, de- layed operation and non-operation groups were 68.7%, 34.2% and 29.1%, respectively, and their mortality rates were 37.5%, 10.5% and 12.5%. The reoperation rates in early operation and delayed ope- ration groups were 87.5% and 18.4%, respectively. Conclusions: The strategy for the management of ANP is an important factor influencing the prognosis of ANP patients. For ANP, delayed operation if nec- essary is more preferable than early operation in terms of better prognosis, and surgery should be simple and free from severe trauma.
