Video assisted retroperitoneal debridement for infected necrotizing pancreatitis
10.3760/cma.j.issn.1007-631X.2018.09.002
- VernacularTitle:视频辅助腹膜后入路清创治疗胰腺感染性坏死
- Author:
Ning DUAN
1
;
Chongchong GAO
;
Zhe WANG
;
Feng CAO
;
Ang LI
;
Diangang LIU
;
Jia LI
;
Fei LI
Author Information
1. 首都医科大学宣武医院普外科
- Keywords:
Pancreatitis,acute necrotizing;
Surgical procedures,minimally invasive;
Infected necrosis
- From:
Chinese Journal of General Surgery
2018;33(9):716-720
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the clinical efficacy of video-assisted retroperitoneal debridement (VARD) in the treatment of infected pancreatic necrosis (IPN).Methods 48 infected necrotizing pancreatitis patients underwent video-assisted retroperitoncal debridement from Jan 2013 to Aug 2017.Results There were 30 males and 18 females.After operation,4 patients suffered from postoperative bleeding and underwent angiography.One patient had gastrointestinal fistula,4 patients had newly devoloped organ dysfunction altogether,7 patients had postoperative complications.The incidence of complications was 14.58％ (7/48).3 cases died,the mortality was 6.25％ (3/48).Conclusion The video-assisted retroperitoneal debridement for pancreatic necrotic tissue is effective,safe and minimally invasive for the treatment of infected necrosis of the pancreas.
