摘要
目的探讨经腹腔镜灌洗引流治疗重症急性胰腺炎(SAP)伴腹腔间隔室综合征(ACS)的疗效。方法应用腹腔镜微创外科技术对23例SAP的ACS病人行胃结肠韧带切开,胰腺被膜切开减压,吸尽胰周渗液及清除坏死组织,并置多管腹腔引流、灌洗。结果除1例SAP病人因术后并发多器官功能衰竭(MOF)、弥漫性血管内凝血(DIC)死亡外,其余22例均痊愈出院,随访半年无复发。结论腹腔镜灌洗引流治疗SAP的ACS方法简单、安全、有效,可以降低死亡率,减少并发症。
Objective To investigate the effectiveness of laparoscopic abdominal drainage and lavage for the treatment of severe acute pancreatitis（SAP） with abdominal compartment syndrome （ACS）. Methods Twenty-three cases of SAP with ACS underwent the procedure of opening gastric colon ligament, depressing by longitudinal incision of pancreatic capsule, eliminating the exudate near the pancreas and removing pancreatic necrosis tissues under laparoscope. Multiple abdominal drainage tubes were placed for postoperative lavage. Results Twenty-two case of SAP with ACS were cured except one patient died of postoperative multiple organ failure and DIC. During a follow-up period of 6 months, no recurrence occurred. Conclusion The procedure of laparoscopic treatment for SAP with ACS is simple, safe and effective. This method can reduce the mortality and complication of SAP.
出处
《腹部外科》
2010年第1期18-19,共2页
Journal of Abdominal Surgery
关键词
胰腺炎
急性坏死性
腹腔镜
腹腔灌洗
Pancreatitis, acute necrotizing
Lap＇aroscopes
Peritoneal lavage
