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目的:探讨重症急性胰腺炎腹腔镜外科干预的时机、指针和方式。方法:回顾分析我院采用腹腔镜手术治疗的18例SAP的病人临床资料。结果:全部病例均成功采用腹腔镜手术治疗,无中转开腹。8例病人在发病2周内手术。治愈16例,1例死于多器官功能衰竭,住院时间28～86d,平均46d。结论:重症急性胰腺炎的腹腔镜手术指征可以放宽、手术干预时机可以提早。主要手术方式为腹腔持续灌洗联合腹膜透析。采用腹腔镜治疗重症急性胰腺炎对机体的创伤打击小,可有效地改善重症急性胰腺炎病人的预后。
Objective: To explore the timing, guidelines and methods of laparoscopic intervention for severe acute pancreatitis. Methods: The clinical data of 18 patients with SAP who underwent laparoscopic surgery in our hospital were retrospectively analyzed. Results: All patients were successfully treated with laparoscopic surgery, no transit laparotomy. Eight patients underwent surgery within 2 weeks of onset. 16 cases were cured, 1 died of multiple organ failure, hospitalization time 28 ~ 86d, an average of 46d. Conclusion: Laparoscopic indications of severe acute pancreatitis can be relaxed, and the timing of surgical intervention can be earlier. The main surgical methods for continuous peritoneal lavage combined with peritoneal dialysis. Laparoscopic treatment of severe acute pancreatitis trauma to the body hit small, can effectively improve the prognosis of patients with severe acute pancreatitis.