Application of laparoscopic peritoneal lavage and drainage for severe acute pancreatitis:a report of 87 cases
10.3969/j.issn.1006-5725.2016.06.011
- VernacularTitle:腹腔镜腹腔置管灌洗引流治疗重症急性胰腺炎87例
- Author:
Xing SUN
;
Zhaoshan FANG
;
Haisu TAO
;
Hai HUANG
;
Xingxing LIU
- Publication Type:Journal Article
- Keywords:
Laparoscopic peritoneal lavage and drainage;
Severe acute pancreatitis;
Multiple organ failure
- From:
The Journal of Practical Medicine
2016;32(6):903-907
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effect of LPLD (laparoscopic peritoneal lavage and drainage ) on SAP (severe acute pancreatitis), and to compare its effect with that of non- LPLD (conservative medical management). Methods We collected data from 87 consecutive patients with SAP, from January 2009 to May 2014, including LPLD group (n = 46) and non-LPLD group (n = 41). LPLD was performed in the 1st and 2nd week after the disease onset in LPDP group and other treatment in LPDP group was the same as that in non-LPLD group. Data were comparatively analyzed in two groups about the length of hospital stay, ICU stay, cure rate, incidence of complications and in-hospital mortality. Results In LPLD group, hospital stay, and ICU stay were shorter while cure rate was higher than those in non-LPLD group , and the difference was statistically significant (P < 0.05). In terms of the incidence of complications in two groups, only the incidence of sepsis indicated statistical significance (P < 0.05) and in-hospital mortality did not differ significantly between two groups (P > 0.05). Conclusion Compared with non-LPLD, LPLD is effective in short outcome, which is a promising treatment for SAP.