重症急性胰腺炎的腹腔镜治疗

目的：探讨急性重症胰腺炎(SAP)早期阶段的腹腔镜手术治疗。方法：8例SAP病人接受腹腔镜手术。主要行腹腔灌冼、多管引流、网膜囊切开、胰包膜、胰床松解等操作。结果：临床疗效满意。治愈7例。1例死于ARDS。结论：通过腹腔镜手术能迅速明确病情。引流腹腔内毒性渗液、酶性物质。有利于稳定急性期全身炎症反应。有效降低并发症的发生。并可适当放宽腹腔镜手术的指征。

LAPAROSCOPIC TREATMENT ON SEVERE ACUTE PANCREATITIS

Objective:To study the effect of laparoscopic therapy on earlier phase of acute pancreatitis (SAP).Methods:Laparoscopic treatment was performed on 8 cases of patients with SAP. Peritoneal lavage,poly-tube drainge, omental bursa incision, pancreatic envelope and pancreatic bed brisement were made mainly.Results:The clinical treatment effect was satisfactory:7 cases were cured and 1 case died of acute respiratory distress syndrome(ARDS).Conclusion:It can quickly understand the patient's condiction, drain the toxic infiltration and enzyme in abdominal cavity through laparoscopic treatment, and is advantageous to stabilize the total body's inflammatory reaction in acute phase, effectively decreases the occurrence of complication. Thus we suggest to properly broaden digital of laparoscopic treatment.