Video-assisted retroperitoneal debridement for the treatment of infected necrotizing pancreatitis
10.3760/cma.j.issn.1007-631X.2015.01.002
- VernacularTitle:视频辅助腹膜后清创术治疗重症急性胰腺炎继发感染
- Author:
Feng CAO
;
Jia LI
;
Ang LI
;
Yu FANG
;
Fei LI
- Publication Type:Journal Article
- Keywords:
Pancreatitis,acute necrotizing;
Debridement;
Surgical procedures,minimally invasive
- From:
Chinese Journal of General Surgery
2015;30(1):4-6
- CountryChina
- Language:Chinese
-
Abstract:
Objective To determine the effect of video-assisted retroperitoneal debridement in treatment of infected necrotizing pancreatitis.Methods The clinical data of patients with infected necrotizing pancreatitis was retrospectively analyzed.Heart rate,mean arterial pressure,body temperature and indicators for inflammatory response including level of WBC,CRP and procalcitonin before and after VARD treatment were compared.Results After VARD treatment,the heart rate (preoperative vs.postoperative 8 h,108 ± 22/min vs.95 ± 17/min),mean arterial pressure (preoperative vs.postoperative 12 h,66 ± 18 mmHg vs.79 ± 19 mmHg) and body temperature(preoperative vs.postoperative 24 h,38.3 ± 1.7 ℃ vs.37.3 ± 1.3 ℃) improved significantly (all P ＜ 0.05).Level of WBC [preoperative vs.postoperative 48 h,(13.8 ±6.6) × 109/L vs.(10.1 ±5.2) × 109/L],CRP(preoperative vs.postoperative 48 h,145 ± 88 mg/L vs.95 ± 4 mg/L) and procalcitonin (preoperative vs.postoperative 48 h,1.4 ± 0.7 μg/L vs.0.9 ± 0.4 μg/L) also decreased significantly(all P ＜ 0.05).Conclusions VARD therapy can significantly reduce systemic inflammation and improve the general condition of infected necrotizing pancreatitis patients.
