The indication and timing of surgery for acute necrotizing pancreatitis
- VernacularTitle:重症胰腺炎手术指征和手术时机的探讨
- Author:
Qiang HE
;
Huan GAO
;
Lijian LIANG
- Publication Type:Journal Article
- From:
Chinese Journal of General Surgery
2001;16(2):106-107
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the indication and timing of surgery for acute necrotizing pancreatitis. Methods 82 cases of acute necrotizing pancreatitis were analyzed retrospectively. 10 cases were treated non-operatively. Early operation was performed on 44 cases, while 28 cases underwent surgery on late stage. Results The overall morbidity and mortality was 24% and 18%, respectively. All 10 patients in the non-operative group were cured with a morbidity of 10%. The morbidity and mortality in the early operation group was 14% and 11%, respectively, compared with 46% and 36% of those receiving surgery on late stage（P＜0.01, P＜0.05）. Among those in late surgery group, patients not complicating infection had significant lower morbidity and mortality rate than those suffering from severe infection or organ dysfunction（P＜0.01, P＜0.05）. Conclusions Early operation is necessary for some severe cases.In patients with severe pancreatic necrosis surgery should be performed before severe infection occurs.
