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

作　　者：徐建波[1] 祁付珍[1] 徐玉彬 宋研[1] 禹亚彬[1] 陈国锋[1] 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)

机构地区：[1]南京医科大学附属淮安第一医院肝胆胰外科,江苏淮安223300

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)。

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.

关 键 词：急性重症胰腺炎 后腹膜途径 腹腔镜 

分 类 号：R657.5[医药卫生—外科学]