腹腔镜治疗早期重症急性胰腺炎16例的临床分析

目的探讨经腹腔镜灌洗、引流治疗早期重症急性胰腺炎（severe acute pancreatitis，SAP）的疗效。方法对1998年4月-2007年11月间收治的16例早期重症急性胰腺炎的患者，进行腹腔镜下胃结肠韧带切开，胰腺被膜切开减压，吸尽胰周渗液及清除坏死组织，并置多管腹腔引流和灌洗治疗的临床资料进行回顾性分析。结果15例治愈，1例发生胰腺假性囊肿，无围手术期死亡。结论腹腔镜灌洗、引流治疗早期重症胰腺炎方法简单、安全、有效，可降低SAP的病死率，减少并发症。

Clinical Analysis of Laparoscopic Treatment for 16 Cases of Early Severe Acute Pancreatitis

Objective To investigate the effect of peritoneal lavage and drainage by laparoscopic on treating early severe acute pancreatitis（SAP）. Methods The clinical data of 16 patients with early SAP was analyzed retrospectively in our hospital from April 1998 to November 2007, all patients were treated by laparoscopic operation, the operative procedure was： opened gastrocolic ligament, open decompression by longitudinal incision of pancreatic capsule, eliminated the exudate near the pancreas, removed pancreatic necrosis tissue and placed multiple abdominal drainage tubes for postoperative lavage. Results 15 cases were cured and 1 case occurred the pancreatic pseudocyst. No patient was died in perioperatively. Conclusion The procedure of laparoscopic treatment for early SAP is simple, safe and effective. This method can reduce the mortality and complications of SAP.