Debridement and drainage of infected necrosis for severe acute pancreatitis via lumbo-retroperitoneal route.
- Author:
Guo-Huang HU
1
;
Wei-Jia SUN
;
Lian DUAN
Author Information
1. Department of General Surgery, Xiangya Hospital, Central South University, Changsha 410008, China. prohgh@21cn.com
- Publication Type:Journal Article
- MeSH:
Adult;
Aged;
Debridement;
Digestive System Surgical Procedures;
methods;
Drainage;
Female;
Humans;
Male;
Middle Aged;
Pancreatitis, Acute Necrotizing;
surgery;
Retroperitoneal Space;
surgery
- From:
Journal of Central South University(Medical Sciences)
2008;33(7):642-644
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To determine the route and ways of debridement and drainage of infected necrosis for severe acute pancreatitis (SAP) combined with pancreatic infection.
METHODS:Clinical data of 28 patients with SAP accompanied with secondary pancreatic infection, who underwent lumbo-retroperitoneal debridement, drainage and lavage after the operation were retrospectively investigated.
RESULTS:Four patients underwent one operation, 21 underwent 2 operations, and 3 underwent 3 operations. All patients recovered or improved and were discharged by postoperative lavage. Four patients had complications, including 1 gastrointestinal bleeding,1 intestinal fistula and 2 pancreatic fistula.
CONCLUSION:Debridement and drainage of infected necrosis for SAP combined with pancreatic infection via lumbo-retroperitoneal route is direct, safe and effective.
