腹腔镜微创技术在重症急性胰腺炎干预时机若干问题  

Some problems in intervention time of laparoscopic minimally invasive technique in treating severe acute pancreatitis

作　　者：李非[1] 刘建[1] 

机构地区：[1]首都医科大学宣武医院普外科,100053

出　　处：《中华普外科手术学杂志（电子版）》2017年第4期275-277,共3页Chinese Journal of Operative Procedures of General Surgery(Electronic Edition)

基　　金：北京市医院管理局临床医学发展专项经费资助(编号:XMLX201404)~~

摘　　要：腹腔镜微创技术在重症急性胰腺炎不同时期均发挥重要作用。病程早期,可用于降低腹腔室隔综合征患者的腹腔压力。合并胆囊结石时,可在本次住院期间、处理局部并发症时或二次住院期间行腹腔镜胆囊切除术。合并感染性胰腺坏死时,可通过腹膜后入路、经腹腔前入路实施完全腹腔镜或腹腔镜辅助下坏死组织清除术,应遵循延期手术原则。病程晚期,也用于晚期局部并发症的处理,包括胰腺假性囊肿及包裹性坏死。Laparoscopic minimally invasive technique plays important role in various stages of severe acute pancreatitis. During early stage,it can be used to decrease the abdominal pressure of patients with abdominal compartment syndrome. When combined with gallstone,laparoscopic cholecystectomy can be applied during the same admission or during operation of local complications or during second admission.When combined with infected pancreatic necrosis,necrosectomy can be applied according to retroperitoneal or transperitoneal approach under completely laparoscopy or laparoscopic assisted technique,and delay surgery strategy has been widely accepted. During late stage,it can be used to treatment local complications,including pancreatic pseudocyst and walled-off necrosis.

关 键 词：腹腔镜 微创技术 胰腺炎 急性坏死性 感染性胰腺坏死 局部并发症 

分 类 号：R657.51[医药卫生—外科学]