经腹腔镜诊治急性胰腺炎(附18例报告)  

The Diagnosis and Treatment of Acute Pancreatitis by Laparoscope( Reported of 18 cases)

作　　者：周斌[1] 郭克逊[1] 江涌[1] 马祖泰[1] 

机构地区：[1]江苏大学附属徐州医院,徐州221005

出　　处：《临床急诊杂志》2003年第6期13-14,共2页Journal of Clinical Emergency

摘　　要：目的:探讨腹腔镜技术在诊断和治疗急性胰腺炎中的应用价值。方法:回顾总结18例经腹腔镜诊断和治疗急性胰腺炎的临床资料。结果:1例死于霉菌性感染,其余均临床治愈。随访6月～4年,无1例复发。早期手术平均住院时间明显少于延期手术者。3例术后3个月复查CT:胰腺假性囊肿形成,其中2例有径均小于0.6cm,无特殊不适,未作处理;1例直径10cm,行B超定位穿刺抽液后消失。结论:适时、有选择地运用腹腔镜技术诊断和治疗急性胰腺炎,不仅是一个补充手段,也是一种实用、有效的方法。具有确诊率高,创伤小,术后恢复快,缩短病程,提高治愈率等优点。在微创外科领域将会有广泛的应用前景。Purpose:To evaluate the role of laparoscope in the diagnosis and treatment of acute pancreatitis. Methods; 18 cases of acute pancreatitis were diagnosed and treated laparoseope,and all the clinical documents were analysed. Results:One patient died of fungal infection. Seventeen patients were discharged uneventfully. These 18 cases were followed - up for 6 months -4 years and no recurrence was found. The period of hospitalization of these cases operated on at earlier stage was less than that of others. Pancreatic pseudocysts were found in 3 eases by computed tomography 3 months after operation,2 cases with cysts smaller than 0. 6 cm without treatment was necessary,while I cases with cyst of 10 cm which disappeared after pierce under B-ulfrasound. Conclusion: The appropriate application of laparoscopy in the diagnosis and freatment of acute pancreatitis was a practical effective method. The rirtue was it precise diagnosis, minimal trauma quick recorery and high curability. Thus sapporfing that it is an affractive nrospect in minimally in vasive surgerv.

关 键 词：急性胰腺炎 腹腔镜 诊断 治疗 

分 类 号：R657.51[医药卫生—外科学]