Laparoscopic combined with percutaneous nephroscopic necrosectomy for peripancreatic abscesses: a report of 8 cases
10.3760/cma.j.issn.1007-8118.2018.05.010
- VernacularTitle:腹腔镜联合经皮肾镜胰腺周围坏死组织清除术八例报告
- Author:
Yang CAI
1
;
Bei LU
;
Yafeng WAN
;
Junjie YING
;
Wei HU
;
Jianhua FANG
Author Information
1. 310006,杭州市第一人民医院南京医科大学附属杭州医院肝胆胰外科
- Keywords:
Pancreas abscess;
Pancreatitis,infected necrotizing;
Laparoscopy;
Percutaneous nephroscopy;
Necrosectomy
- From:
Chinese Journal of Hepatobiliary Surgery
2018;24(5):325-328
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the effect of combined laparoscopic and percutaneous nephroscopic necrosectomy in the treatment of peripancreatic abscesses.Methods The clinical data of 8 patients with peripancreatic abscesses treated by combined laparoscopic and percutaneous nephroscopic necrosectomy in our hospital from June 2015 to June 2017 were retrospectively analyzed.Results 8 patients were treated with percutaneous puncture and drainage under Ultrasonic / Computed Tomography guidance.Combined laparoscopic and percutaneous nephroscopic necrosectomy was then carried out.Two patients underwent percutaneous nephroscopic surgery twice and laparoscopic surgery once,and 3 patients underwent percutaneous nephroscopic surgery thrice,and 3 patients underwent percutaneous nephroscopic surgery 4 times and laparoscopic surgery once.One patient after percutaneous nephroscopic necrosectomy was complicated with sinus tract hemorrhage,which was treated by haemostasis through a small incision.Two patients who developed postoperative colonic fistula were treated successfully by conservative treatment.The average length of hospital stay was 80 d (60 ～ 153 d),and there was no death.Conclusion Combined laparoscopic and percutaneous nephroscopic necrosectomy was a minimally invasive and efficacious method to treat peripancreatic abscesses.
