腹腔镜下外引流术治疗胰腺假性囊肿合并感染

【摘要】 目的 探讨腹腔镜下外引流术治疗胰腺假性囊肿合并感染的安全性和可行性。方法 回顾分析2006年1月至2013年2月在我院肝胆胰外科接受腹腔镜下感染性胰腺假性囊肿外引流术的病例资料共20例(男性15例,女性5例)。结果 全组病人平均手术时间为46.3 min,平均住院时间11.2 d。术后出现胰液外渗并腹腔感染1例、胰瘘形成3例、肺部感染2例。所有病人术后均康复出院。胰腺假性囊肿引流管放置时间平均45.5 d(36~92),拔管后有3例胰腺假性囊肿复发,需行胰腺假性囊肿内引流术。结论 腹腔镜下外引流术治疗胰腺假性囊肿合并感染是一种安全可行、创伤小的手术方式。

Laparoscopic external drainage in the treatment of pancreatic pseudocysts associated with infection

Objective To investigate the safety and feasibility of laparoscopic external drainage for management of pancreatic pseudocysts with infection. Methods In this retrospective analysis, 20 patients （15 men and 5 women） with infected pancreatic pseudocysts who underwent laparoscopic external drainage were reviewed. Results The mean operation time was 46.3 minutes and the hospital stay was 11.2 days. One post-operative patient suffered from abdominal infection due to pancreatic fluid leakage after operation. Pancreatic-abdominal fistula occurred in 3 patients and had pulmonary infection occurred in 2 cases. All patients recovered. The patients had to carry the drainage tubes for 36 d to 92 d （mean 45.5 d） after operation. Three patients had recurrence of pancreatic pseudocysts after pulling out the drainage tubes. Conclusion Laparoscopic external drainage is safe and feasible in the treatment of infected pancreatic pseudocysts.