Clinical application of multiple minimally invasive techniques for the treatment of severe acute pancreatitis
10.3760/cma.j.issn.1673-9752.2011.05.007
- VernacularTitle:多元化微创技术在重症急性胰腺炎治疗中的应用
- Author:
Bei SUN
;
Guang JIA
;
Gang WANG
;
Jun LI
;
Hongtao TAN
;
Jie LIU
;
Linfeng WU
;
Hongchi JIANG
- Publication Type:Journal Article
- Keywords:
Severe acute pancreatitis;
Minimally invasive technique;
Treatment
- From:
Chinese Journal of Digestive Surgery
2011;10(5):338-340
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate multiple minimally invasive techniques in the treatment of severe acute pancreatitis (SAP).Methods The clinical data of 93 patients with SAP who received minimally invasive treatment at the First Affiliated Hospital of Harbin Medical University from January 2005 to July 2010 were retrospectively analyzed.Percutaneous catheter drainage (PCD),endoscopic retrograde cholangio-pancreatography (ERCP),endoscopic sphincterotomy (EST),endoscopic nasobiliary drainage (ENBD) and laparoscopy were applied according to the condition of the patients.The efficacies of different treatment methods were evaluated.Results On the basis of comprehensive treatment,32 patients received 1 kind of minimally invasive treatment,41 patients received 2 kinds of minimally invasive treatment,14 patients received 3 kinds of minimally invasive treatment and 6 patients received 4 kinds of minimally invasive treatment.Sixty-nine patients received ultrasoundguided PCD; 28 patients received ERCP,EST and (or) ENBD; 29 patients received laparoscopy; 19 patients received treatments with stepped approach; 4 patients were complicated with abdominal bleeding,and received interventional treatment.The mean time of abdominal pain relief and duration of hospital stay were (37 ± 18)hours and (31 ±21 )days,respectively.The abdominal infection rate,laparotomy transfer rate,curative rate and mortality rate were62％(58/93),4％(4/93),91％ (85/93) and 9％ (8/93),respectively.Conclusion Multiple minimally invasive techniques combined with individualized treatment may significantly improve the curative rate of SAP.
